Individual
DR. TRAVIS LEE PAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2523 S 10TH AVE STE 103, CALDWELL, ID 83605-6760
(208) 459-7788
(208) 455-3277
Mailing address
3131 SHAY WAY, NYSSA, OR 97913-5052
(541) 212-2305
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
O-345
ID
Other
Enumeration date
07/12/2006
Last updated
09/11/2020
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