Individual provider · Type 1 NPI

Travis Allen Parker, MD

Student in an Organized Health Care Education/Training Program · Stony Brook, NY

NPI number 1700103983 Active

Practice location

101 Nicolls Road, Level 2, Room 749 Dept. Of Pathology
Stony Brook, NY 11794-7025

Call (631) 444-2214 Map

Fax (631) 444-3419

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 1700103983

Travis Allen Parker, MD's National Provider Identifier is 1700103983, issued on Apr 27, 2010. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Stony Brook, NY. The record was last updated on Oct 1, 2012.