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Travis Bulloch
NPI 1265058853 · on the registry since 2020
Practice
- Address
- 1 Hospital Dr Emergency Medicine M562 Dc029.10
Columbia, MO 65212 - Phone
- (573) 884-4400
- Clinicians at this address
- 8
Additional practice sites
- 190 E Bannock St, Boise, ID
Registry record
- Primary taxonomy
- Emergency Medicine Physician
207P00000X
- Also registered as
- Emergency Medicine Physician
- Licence states on file
- ID, MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-04-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri