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1053898247
TRAVIS DALE WORWOOD
MERIDIAN, ID
NPI
1053898247
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ID PA-2175)
Enumeration Date
2018-07-20
Last Update Date
2024-02-13
Business Address
TRAVIS DALE WORWOOD PA-C
4949 S HILLSDALE AVE
MERIDIAN, ID 83642-7586
Phone number: 208-706-6400
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Mailing Address
TRAVIS DALE WORWOOD PA-C
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number:
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