Individual
DR. TRAVIS DEE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
250 W 300 N, ROOSEVELT, UT 84066-2336
(435) 722-4691
Mailing address
250 W 300 N, ROOSEVELT, UT 84066-2336
(435) 722-4691
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
373427-1204
UT
207P00000X
Emergency Medicine Physician
58.002313
OH
Other
Enumeration date
06/29/2007
Last updated
11/04/2009
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