Basic Information
| Provider Information | |||||||||
| NPI: | 1659314979 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | TRAVERS | ||||||||
| FirstName: | ARA | ||||||||
| MiddleName: | B | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3929-1 AIRPORT BLVD | ||||||||
| Address2: | 5TH FLOOR ROOM 513 | ||||||||
| City: | MOBILE | ||||||||
| State: | AL | ||||||||
| PostalCode: | 366090489 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2513182681 | ||||||||
| FaxNumber: | 2513786222 | ||||||||
| Practice Location | |||||||||
| Address1: | 75 S UNIVERSITY BLVD | ||||||||
| Address2: | |||||||||
| City: | MOBILE | ||||||||
| State: | AL | ||||||||
| PostalCode: | 366083271 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2516605787 | ||||||||
| FaxNumber: | 2514607923 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/14/2006 | ||||||||
| LastUpdateDate: | 07/21/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 06/24/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 19322 | MS | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | MD.39287 | AL | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.