TRAVIS BLACKBURN

VESTAVIA, AL
NPI1396282026
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
Enumeration Date2017-01-19
Last Update Date2017-01-19
Business Address
-- TRAVIS BLACKBURN
200 MONTGOMERY HWY STE 125
VESTAVIA, AL 35216-1840
Phone number: 205-822-4357
Mailing Address
-- TRAVIS BLACKBURN
200 MONTGOMERY HWY STE 125
VESTAVIA, AL 35216-1840
Phone number:
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