TRAVIS EDMISTON

DOWNEY, CA
NPI1689093023
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2081P0004X Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine
(Licence: CA  165566)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2014-04-14
Last Update Date2019-09-20
Business Address
TRAVIS EDMISTON MD
7601 IMPERIAL HWY
DOWNEY, CA 90242-3456
Phone number: 562-385-7713
Mailing Address
TRAVIS EDMISTON MD
4025 SW CONDOR AVE
PORTLAND, OR 97239-4172
Phone number: 541-740-8978