TRAVIS JAY CANOVA

SAINT LOUIS, MO
NPI1144635269
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: MO  2019009044)
Enumeration Date2014-06-26
Last Update Date2019-07-02
Business Address
Dr. TRAVIS JAY CANOVA DO
510 S KINGSHIGHWAY BLVD
SAINT LOUIS, MO 63110-1016
Phone number: 314-362-7200
Mailing Address
Dr. TRAVIS JAY CANOVA DO
660 S EUCLID AVE CB 8131
SAINT LOUIS, MO 63110-1010
Phone number: 314-362-7200
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