Most Relevant Information
Provider Data
| NPI Number: | 1003250994 |
| Provider Name: | TRAVIS PAUL DEEL IDC |
| Entity Type: | Individual |
| Taxonomy Code: | 1710I1002X |
| Specialty: | Military Health Care Provider |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/22/2013 |
| Last Updated: | 12/15/2016 |
Provider Practice Location
1 WEST AVE STE 230
SARATOGA SPRINGS
NY
128666050
Practice Location Phone/Fax
| Phone: | 5405883909 |
| Fax: |
Provider Mailing Location
1 WEST AVE STE 230
SARATOGA SPRINGS
NY
128666050
Provider Mailing Phone/Fax
| Phone: | 5405883909 |
| Fax: |