Individual
MR. ERIC DEAN TRAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
1 LOIS LN, GREENWOOD, WV 26415-9500
(304) 873-7020
(304) 871-1857
Mailing address
1 LOIS LN, GREENWOOD, WV 26415-9500
(702) 386-4700
(304) 873-1857
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2598
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922259050
—
NV
Enumeration date
10/07/2008
Last updated
11/03/2025
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