Clyde, Travis

Clyde, Travis is an individual health care provider with primary practice located at 3025 W Cherry Ln Ste 205 , Meridian ID 83642-8530. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Clyde, Travis can be contacted via phone (208) 302-3500.

Contact Information

Primary practice address
3025 W Cherry Ln Ste 205 Meridian ID 83642-8530
Phone: (208) 302-3500
Fax: (208) 302-3555
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X M-14185 Idaho
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MRM-1547 Idaho
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X M-14185 Idaho
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X M-14185 Idaho

Profile Details

NPI number 1457700262
LBN Legal business name Clyde, Travis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2016
Last updated Apr 15th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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