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Last Update: Thursday, September 26, 2024 6:51 PM CDT
Next Update: Friday, September 27, 2024 2:50 AM CDT
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TRAVIS, MITCHELL ELMORE
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| Practice Address: |
10517 MAPLE SPRINGS CV
FORT WAYNE IN 46845
Address last updated on 7/6/2016 |
| Phone #: |
(260) 312-5525 |
| Fax #: |
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| County: |
NOT OKLAHOMA |
| License: |
30874 |
| Dated: |
8/18/2014 |
| Expires: |
8/1/2016 |
| License Type: |
Medical Doctor |
| Specialty: |
Diagnostic Radiology |
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| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Univ of IA Roy J & L Carver COM, Iowa City, IA 52242 |
| Graduated: |
5 /
1994 |
| CME Year: |
2017 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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| Certifications: |
AMERICAN BOARD OF RADIOLOGY |
| New Patients: |
Contact licensee |
| Medicaid: |
Contact licensee |
| Medicare: |
Contact licensee |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
None listed |
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