Most Relevant Information
Provider Data
| NPI Number: | 1003250440 |
| Provider Name: | TRAVIS WADE AUSTIN M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 207PH0002X |
| Specialty: | Emergency Medicine |
| License Number: | 58272 |
Most Important Dates
| Enumeration Date: | 04/27/2013 |
| Last Updated: | 08/12/2019 |
Provider Practice Location
4951 S WHITE MOUNTAIN RD BLDG A
SHOW LOW
AZ
859017801
Practice Location Phone/Fax
| Phone: | 9285376700 |
| Fax: | 9285379581 |
Provider Mailing Location
2200 E SHOW LOW LAKE RD
SHOW LOW
AZ
859017831
Provider Mailing Phone/Fax
| Phone: | 9285376393 |
| Fax: | 9285322131 |