Provider Demographics
NPI:1255699781
Name:ALGER, TRAVIS LANDON (RRA,RT(R)(CT))
Entity type:Individual
Prefix:MR
First Name:TRAVIS
Middle Name:LANDON
Last Name:ALGER
Suffix:
Gender:M
Credentials:RRA,RT(R)(CT)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:137 BOSTON RD
Mailing Address - Street 2:
Mailing Address - City:LURAY
Mailing Address - State:VA
Mailing Address - Zip Code:22835-6300
Mailing Address - Country:US
Mailing Address - Phone:540-860-2276
Mailing Address - Fax:
Practice Address - Street 1:401 LIBERTY AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15222-1000
Practice Address - Country:US
Practice Address - Phone:412-325-3361
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-03
Last Update Date:2012-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01200040832471C3402X
VA0132000005363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
No2471C3402XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistRadiography