Individual
TRAVIS LEE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2375 E SUNNYSIDE RD, SUITE J, IDAHO FALLS, ID 83404-8280
(208) 522-7246
(208) 529-2620
Mailing address
2375 E SUNNYSIDE RD, SUITE J, IDAHO FALLS, ID 83404-8280
(208) 522-7246
(208) 529-2620
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-819
ID
Other
Enumeration date
09/30/2009
Last updated
10/15/2014
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