Provider Demographics
NPI:1417918905
Name:TORMAN, ROBERT TRAVIS (DO)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:TRAVIS
Last Name:TORMAN
Suffix:
Gender:
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4165 N 3750 E
Mailing Address - Street 2:
Mailing Address - City:LIBERTY
Mailing Address - State:UT
Mailing Address - Zip Code:84310-6816
Mailing Address - Country:US
Mailing Address - Phone:828-455-0137
Mailing Address - Fax:877-428-7520
Practice Address - Street 1:4165 N 3750 E
Practice Address - Street 2:
Practice Address - City:LIBERTY
Practice Address - State:UT
Practice Address - Zip Code:84310-6816
Practice Address - Country:US
Practice Address - Phone:828-455-0137
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-01
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200500313207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC139GNOtherBCBS
UT1417918905Medicaid
NC5901980Medicaid
NCI01554Medicare UPIN
NC5901980Medicaid