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1477819944
TRAVIS JOHN PTACEK
PORTSMOUTH, VA
NPI
1477819944
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: SD 12126)
Enumeration Date
2012-04-09
Last Update Date
2023-03-20
Business Address
Dr. TRAVIS JOHN PTACEK M.D.
620 JOHN PAUL JONES CIRCLE NAVAL MEDICAL CENTER PORTSMOUTH
PORTSMOUTH, VA 23708-2197
Phone number: 757-953-5257
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Mailing Address
Dr. TRAVIS JOHN PTACEK M.D.
353 FAIRMONT BLVD
RAPID CITY, SD 57701-7375
Phone number: 605-755-1000
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