Individual
DR. TRAVIS LEE BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13616 CALIFORNIA ST STE 100, OMAHA, NE 68154-5336
(402) 496-0404
(402) 496-7766
Mailing address
13616 CALIFORNIA ST STE 100, OMAHA, NE 68154-5336
(402) 496-0404
(402) 496-7766
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
85435
GA
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
33561
NE
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47081304012
—
NE
Enumeration date
05/01/2015
Last updated
08/30/2021
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