Individual
DR. TRAVIS EDWARD CLEGG
Active
Individual
DR. TRAVIS EDWARD CLEGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
01067694A
IN
207X00000X
Orthopaedic Surgery Physician
44976
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201047300
—
IN
01
—
50045559
KY PASSPORT
KY
05
—
7100132700
—
KY
01
—
768066
ANTHEM
IN
01
—
9087848
AETNA
IN
Enumeration date
05/10/2007
Last updated
07/05/2022
Update your record
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