Provider Demographics
NPI:1104279090
Name:REDMAN, TRAVIS LAWTON (PA)
Entity type:Individual
Prefix:MR
First Name:TRAVIS
Middle Name:LAWTON
Last Name:REDMAN
Suffix:
Gender:M
Credentials:PA
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Mailing Address - Street 1:192 TILLEY DR.
Mailing Address - Street 2:UVM MEDICAL CENTER, ORTHO/UPPER EXTREMITY
Mailing Address - City:S. BURLINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05401
Mailing Address - Country:US
Mailing Address - Phone:802-847-4690
Mailing Address - Fax:802-847-4406
Practice Address - Street 1:192 TILLEY DR.
Practice Address - Street 2:UVM MEDICAL CENTER, ORTHO/UPPER EXTREMITY
Practice Address - City:S. BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05401
Practice Address - Country:US
Practice Address - Phone:802-847-4690
Practice Address - Fax:802-847-4406
Is Sole Proprietor?:No
Enumeration Date:2016-07-15
Last Update Date:2016-08-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VT055.0031314207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery