Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Travis John Riddell, MD

Individual provider Pediatrics Physician · NPI 1720255128

Dr. Travis John Riddell, MD is a Pediatrics Physician in Jackson, Wyoming. Licensed in Massachusetts. Registered with an NPI since 2008.

Licensed in
MA
In the registry since
2008
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

460 E Pearl Ave
Jackson, WY 83001-8410
Phone: (307) 733-6401
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 229430 (MA)

Record details

NPI number1720255128
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 14, 2008
Last updated in NPPESAugust 26, 2025
Certification dateAugust 25, 2025
Mailing addressPo Box 1029, Jackson, WY 83001-1029

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