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Individual

TRAVIS PATRICK ELMORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
8620 W EMERALD ST STE 150, BOISE, ID 83704-4839
(208) 617-3265
Mailing address
6872 W IRVING LN, BOISE, ID 83704-8666

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
ID

Other

Enumeration date
11/05/2025
Last updated
11/05/2025
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