Individual
JEFFREY B TRAVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PH.D.
Contact information
Practice address
725 UNIVERSITY BLVD, DAYTON, OH 45435-0001
(937) 245-7200
(937) 245-7922
Mailing address
725 UNIVERSITY BLVD, DAYTON, OH 45435-0001
(937) 245-7100
(937) 245-7999
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
35.125332
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000093326
ANTHEM
IN
05
—
200041080
—
IN
Enumeration date
07/31/2006
Last updated
01/05/2015
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