TRAVIS JERARD BAISDEN

VIRGINIA BEACH, VA
NPI1316123359
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: VA  0110008196)
Enumeration Date2008-01-20
Last Update Date2022-09-14
Business Address
Mr. TRAVIS JERARD BAISDEN PHYSICIAN ASSISTANT
1605 GENERAL BOOTH BLVD
VIRGINIA BEACH, VA 23454-5691
Phone number: 757-721-0513
Mailing Address
Mr. TRAVIS JERARD BAISDEN PHYSICIAN ASSISTANT
1721 ADMIRAL TAUSSIG BLVD
NORFOLK, VA 23511-2802
Phone number: 757-953-9000