Travis Duane Quiller in Raleigh - Specialist/technologist
Travis Duane Quiller - NPI 1679736680
Travis Duane Quiller is a Specialist/technologist in Raleigh, North Carolina. Travis Duane Quiller practices all healthcare services and medical treatments related to Specialist/technologist. The NPI Number for Travis Duane Quiller is 1679736680. The last update date is 2017-03-24.
Travis Duane Quiller's current location address is 3820 Ed Dr, Raleigh, North Carolina. You can contact this provider via phone number 9197829003 and fax number 9197829303. The mailing address for Travis Duane Quiller is 3820 Ed Dr, Raleigh, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Travis Duane Quiller |
|---|---|
| Address | 3820 Ed Dr, Raleigh, North Carolina |
| Phone Number | 9197829003 |
| Fax Number | 9197829303 |
| Sole Proprietor | N |
| Credentials | AU.D. |
NPI Number Detail
| NPI Number | 1679736680 |
|---|---|
| Provider Enumeration Date | 2008-07-09 |
| Last Updated Date | 2017-03-24 |
Provider Mailing Address Detail
| Address | 3820 Ed Dr |
|---|---|
| City | Raleigh |
| State | North Carolina (NC) |
| Post Code | 276128037 |
| Phone Number | 9197829003 |
| Fax Number | 9197829303 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist/technologist |
|---|---|
| Taxonomy | 235500000X |
| Licence No | 8628 |
|
Definition: General classification identifying individuals who are trained on a specific piece of equipment or technical procedure. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1679736680 | NC | -- | |
| P00634250 | TN | MEDICARE RR |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Travis Duane Quiller by the Centers for Medicare & Medicaid Services?
The Travis Duane Quiller has been issued the NPI (National Provider Identifier) 1679736680, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Travis Duane Quiller located?
The Travis Duane Quiller is located at 3820 Ed Dr, Raleigh, NC 276128037.
What is Travis Duane Quiller's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Travis Duane Quiller is Specialist/technologist, and the taxonomy code that categorizes this field of expertise is 235500000X.
On what date did the Travis Duane Quiller receive the assignment of its 1679736680 from the Centers for Medicare & Medicaid Services?
The Travis Duane Quiller was issued its 1679736680 by the Centers for Medicare & Medicaid Services on 2008-07-09.
As of what date were the details pertaining to Travis Duane Quiller last refreshed?
The information related to the Travis Duane Quiller, including its address, specialty, and other relevant details, was last updated on 2017-03-24.