TRAVIS SCOTT

INDIANAPOLIS, IN
NPI1477087096
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: KY  TP077)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2017-04-20
Last Update Date2021-06-02
Business Address
TRAVIS SCOTT
1120 W MICHIGAN ST # CL642
INDIANAPOLIS, IN 46202
Phone number: 317-278-2686
Mailing Address
TRAVIS SCOTT
1120 W MICHIGAN ST # CL642
INDIANAPOLIS, IN 46202-5209
Phone number: 317-278-2686