Provider Demographics
NPI:1932321924
Name:STONER, TRAVIS B (DO)
Entity Type:Individual
Prefix:DR
First Name:TRAVIS
Middle Name:B
Last Name:STONER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:2207 OSBORNE DR W
Mailing Address - Street 2:SUITE 100
Mailing Address - City:HASTINGS
Mailing Address - State:NE
Mailing Address - Zip Code:68901-9112
Mailing Address - Country:US
Mailing Address - Phone:402-462-2139
Mailing Address - Fax:402-462-2381
Practice Address - Street 1:2207 OSBORNE DR W
Practice Address - Street 2:SUITE 100
Practice Address - City:HASTINGS
Practice Address - State:NE
Practice Address - Zip Code:68901-9112
Practice Address - Country:US
Practice Address - Phone:402-462-2139
Practice Address - Fax:402-462-2381
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2012-02-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NE1228207X00000X
OH58-001731207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE098856001Medicare PIN