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Individual

LESLIE CAYCO-TRAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
3260 PROVIDENCE DR, STE 425, ANCHORAGE, AK 99508
(907) 561-7111
(907) 770-7891
Mailing address
3260 PROVIDENCE DR, STE 425, ANCHORAGE, AK 99508-4661
(907) 561-7111
(907) 770-7891

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
7723
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1584073
AK
Enumeration date
07/14/2008
Last updated
08/28/2018
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