Individual
DR. TRAVIS EUGENE DEVADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 SW 10TH AVE, TOPEKA, KS 66604-1301
(785) 354-6000
(785) 354-5004
Mailing address
1500 SW 10TH AVE, TOPEKA, KS 66604-1301
(785) 354-6000
(785) 354-5004
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
04-36846
KS
207PH0002X
Hospice and Palliative Medicine (Emergency Medicine) Physician
Primary
36846
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
068002229
MEDICARE PTAN
KS
05
—
201086160A
—
KS
Enumeration date
06/28/2008
Last updated
02/02/2024
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