Individual
TRAVIS HIBBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8424 E SHEA BLVD, #101, SCOTTSDALE, AZ 85260-6662
(480) 256-1520
(480) 478-6628
Mailing address
8424 E SHEA BLVD, #101, SCOTTSDALE, AZ 85260-6662
(480) 256-1520
(480) 478-6628
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1104
AZ
Other
Enumeration date
12/17/2014
Last updated
08/16/2015
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