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1841349073
L WILLIAM TRAVERSO
BOISE, ID
NPI
1841349073
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: ID M10966)
Additional Taxonomies
208600000X Surgery
(Licence: WA MD00022191)
Enumeration Date
2007-01-09
Last Update Date
2012-09-18
Business Address
-- L WILLIAM TRAVERSO MD
100 E IDAHO ST SUITE 301
BOISE, ID 83712-6267
Phone number: 208-381-9250
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Mailing Address
-- L WILLIAM TRAVERSO MD
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2222
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