Individual provider · Type 1 NPI

Travis Richard Israel, DO

Student in an Organized Health Care Education/Training Program · Lone Tree, CO

NPI number 1497101216 Active

Practice location

10099 Ridgegate Pkwy, Suite 120
Lone Tree, CO 80124-5531

Mailing address

4328 5th Ave
San Diego, CA 92103-1417

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1497101216

Travis Richard Israel, DO's National Provider Identifier is 1497101216, issued on May 11, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lone Tree, CO. The record was last updated on Nov 23, 2021.