Travis Blackburn

NPI #1396282026 in Vestavia, Alabama

Provider Information

NPI Number
1396282026
Entity Type
Individual
Name
Travis Blackburn
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Surgical
Enumeration Date
Jan 19, 2017
Last Updated
Jan 19, 2017

Practice Location

Address
200 MONTGOMERY HWY STE 125
State
Alabama
ZIP Code
35216-1840
Phone
(205) 822-4357

Specialties & Taxonomy Codes

Specialty
Physician Assistant - SurgicalSurgical

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