TRAVIS W STRATFORD, M.D., L.C.P.C., Professional MISSOULA, MT

Contact Information

TRAVIS W STRATFORD, M.D., L.C.P.C.

1703 RIVER RANCH RD
MISSOULA, MT 59804-8503

Phone: 406-317-3115
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Professional	101YP2500X
Diagnostic Radiology	2085R0202X	30	Physician/Diagnostic Radiology
Mental Health	101YM0800X
Vascular & Interventional Radiology	2085R0204X	94	Physician/Interventional Radiology

Indicates primary specialty

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NPI Profile & details for TRAVIS W STRATFORD · (Male)

NPI Number	`1962453159`
Status	Active
Credentials	M.D., L.C.P.C.
Entity	Individual
Enumeration date	05/13/2006
Last updated	01/11/2021 - About 5 years ago
Sole proprietor ¹	No
Identifiers	MT License # 47167 OR License # 26978 WA License # MD46039 OR Medicaid 271184
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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TRAVIS W STRATFORD, M.D., L.C.P.C. – NPI #1962453159Professional

Contact Information

Specialty

Professional

Diagnostic Radiology

Mental Health

Vascular & Interventional Radiology

NPI Profile & details for TRAVIS W STRATFORD · (Male)

Reviews for TRAVIS W STRATFORD

TRAVIS W STRATFORD, M.D., L.C.P.C. – NPI #1962453159
Professional