TRAVIS REED MOULTON

CALDWELL, ID
NPI1760744403
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: ID  O-0765)
Enumeration Date2012-06-08
Last Update Date2022-01-26
Business Address
-- TRAVIS REED MOULTON DO
1906 FAIRVIEW AVE STE 230
CALDWELL, ID 83605-5407
Phone number: 208-459-4667
Mailing Address
-- TRAVIS REED MOULTON DO
PO BOX 277976
ATLANTA, GA 30384-7976
Phone number:
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