Travis, Mark Douglas
Travis, Mark Douglas is an individual health care provider with primary practice located at 1 Hospital Dr , Columbia MO 65212-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Travis, Mark Douglas can be contacted via phone (573) 882-1161.Contact Information
Primary practice address
1 Hospital Dr
Columbia MO 65212-0001
Phone: (573) 882-1161
Fax: (573) 884-8876
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 01055735A | Indiana |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 2012004015 | Missouri |
Profile Details
| NPI number | 1760455281 |
|---|---|
| LBN Legal business name | Travis, Mark Douglas |
| Credentials | M.D., PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 8th, 2006 |
| Last updated | May 30th, 2023 - about 3 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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