TRAVIS NORTHERN

COLUMBIA, MO
NPI1104465145
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: TX  1304720)
Enumeration Date2019-12-21
Last Update Date2019-12-21
Business Address
TRAVIS NORTHERN
800 HOSPITAL DR
COLUMBIA, MO 65201-5275
Phone number: 573-814-6000
Mailing Address
TRAVIS NORTHERN
2997 OAK ST APT 205
KANSAS CITY, MO 64108-3370
Phone number: 417-342-7855
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