Mcdonald, Travis
Mcdonald, Travis is an individual health care provider with primary practice located at 13348 S Market Center Dr Suite 120, Riverton UT 84065-8001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Mcdonald, Travis can be contacted via phone (385) 887-7100.Contact Information
Primary practice address
13348 S Market Center Dr Suite 120
Riverton UT 84065-8001
Phone: (385) 887-7100
Fax: (385) 887-7105
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | 4860583-8905 | Utah |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | MED-PHYS-LIC-26324 | Montana |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A 121977 | California |
Profile Details
| NPI number | 1558634915 |
|---|---|
| LBN Legal business name | Mcdonald, Travis |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 16th, 2012 |
| Last updated | Sep 30th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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