TRAVIS RICHARD ISRAEL

LONE TREE, CO
NPI1497101216
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2016-05-11
Last Update Date2021-11-23
Business Address
Dr. TRAVIS RICHARD ISRAEL D.O.
10099 RIDGEGATE PKWY SUITE 120
LONE TREE, CO 80124-5531
Phone number: 720-874-2406
Mailing Address
Dr. TRAVIS RICHARD ISRAEL D.O.
4328 5TH AVE
SAN DIEGO, CA 92103-1417
Phone number: 858-395-2586
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