Individual
DR. TRAVIS ERHARDT BENTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
211 KY 59, VANCEBURG, KY 41179-7647
(606) 796-3029
Mailing address
1650 COCHRANE CIR BLDG 7505, FORT CARSON, CO 80913-4613
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD-18361
HI
207Q00000X
Family Medicine Physician
Primary
TP666
KY
208D00000X
General Practice Physician
MD-18361
HI
Other
Enumeration date
03/04/2014
Last updated
07/10/2023
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