Dr. Travis G. Blanton MD
Anesthesiology Physician in Buffalo, NY(View on Map)
Full Name
Dr. Travis Glenn Blanton MD
NPI Number
1013479856
NPI Type
Individual Provider
Gender
Male
Enumeration Date
04/02/2019
Specialties
(Taxonomies)Name
Code
207L00000X
207LP2900X
390200000X
Primary Taxonomy
Yes
No
No
Licenses
State
New York
Ohio
License Number
306742
35.148574
Contact
Information
Purpose
Mailing
Location
Address
2181 TOWNSHIP ROAD 188
462 GRIDER ST
City
Cardington
Buffalo
State
OH
NY
Postal Code
43315-9353
14215-3021
Country
US
US
Telephone Number
N/A
(716) 878-7701
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 12/18/2023
Provider Address
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