Individual
DR. TRAVIS R MUNCY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1950 MOUNTAIN VIEW AVE, LONGMONT, CO 80501-3129
(303) 651-5300
Mailing address
1950 MOUNTAIN VIEW AVE., LONGMONT, CO 80501
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
0102201451
VA
207L00000X
Anesthesiology Physician
Primary
44882
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010181780
—
VA
05
—
95207821
—
CO
Enumeration date
10/04/2006
Last updated
08/19/2016
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