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Individual

DR. TRAVIS DAVID HOWARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2101 E JEFFERSON ST, ROCKVILLE, MD 20852-4908
(800) 777-7904
Mailing address
2101 E JEFFERSON ST, ROCKVILLE, MD 20852-4908
(800) 777-7904

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
57.019789
OH
2085R0202X
Diagnostic Radiology Physician
106419
MN
2085R0202X
Diagnostic Radiology Physician
Primary
55648
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
ENROLLED
IA
05
ENROLLED
MN
Enumeration date
12/20/2011
Last updated
06/09/2021
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