TRAVIS BLACKBURN

HOMEWOOD, AL
NPI1396282026
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: AL  1246)
Enumeration Date2017-01-19
Last Update Date2026-03-12
Business Address
TRAVIS BLACKBURN
3125 INDEPENDENCE DR STE 210
HOMEWOOD, AL 35209-4164
Phone number: 205-930-0920
Mailing Address
TRAVIS BLACKBURN
3485 INDEPENDENCE DR
HOMEWOOD, AL 35209-5603
Phone number: 205-930-0920
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