Mcglothin, Travis

Mcglothin, Travis is an individual health care provider with primary practice located at 3601 S 6Th Ave , Tucson AZ 85723. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Mcglothin, Travis can be contacted via phone (520) 792-1450.

Contact Information

Primary practice address
3601 S 6Th Ave Tucson AZ 85723
Phone: (520) 792-1450
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 56352 Arizona
Allopathic & Osteopathic Physicians / Surgery 208600000X 2004-0425 New Mexico

Profile Details

NPI number 1285773275
LBN Legal business name Mcglothin, Travis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2007
Last updated Jun 1st, 2018 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1285773275 NPPES
New Mexico MEDICAID 16753577
New Mexico MEDICAID 460749

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