1518251636

Everything you always wanted to know about DR. PIESTER LOYD TRAVIS M.D. but were afraid to ask.

DR. PIESTER LOYD TRAVIS M.D.

You can also download the this 1518251636 data report as csv | excel | json | xml
Provider Prefix Provider Last Name Provider Middle Name Provider First Name Provider Credential
DR. PIESTER LOYD TRAVIS M.D.
Gender:
Male
Enumeration date:
2011-06-06
Last update date:
2017-07-13
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
No
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Identifiers

identifier description issuer state

Taxonomies

Taxonomy State License Number Primary?
2080P0206X Pediatric Gastroenterology CA A124852 Y

Phone Numbers

Type Number
Practice Location Address Telephone Number 3233612181

Addresses

Type Address City State Postal Country
Mailing Address 4650 W SUNSET BLVD # MS 76 LOS ANGELES CA 90027 CA
Practice Location Address 4650 W SUNSET BLVD # MS 76 LOS ANGELES CA 90027 CA

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4650 W SUNSET BLVD CA LOS ANGELES
1457445348 PIETZAK, MICHELLE
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1568803989 MITSINIKOS, FOTINI
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4650 W SUNSET BLVD # 78 CA LOS ANGELES