Individual
DR. TRAVIS RYAN TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 NORTH ACADEMY AVE., DANVILLE, PA 17822-1405
(570) 271-6472
(570) 271-5874
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
MD044948
DC
2084N0400X
Neurology Physician
Primary
MD458100
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2012
Last updated
08/13/2020
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