TRAVIS DALE WORWOOD

MERIDIAN, ID
NPI1053898247
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA-2175)
Enumeration Date2018-07-20
Last Update Date2024-02-13
Business Address
TRAVIS DALE WORWOOD PA-C
4949 S HILLSDALE AVE
MERIDIAN, ID 83642-7586
Phone number: 208-706-6400
Mailing Address
TRAVIS DALE WORWOOD PA-C
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number:
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