Individual
L WILLIAM TRAVERSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 E IDAHO ST, SUITE 301, BOISE, ID 83712-6267
(208) 381-9250
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2222
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
M10966
ID
208600000X
Surgery Physician
MD00022191
WA
Other
Enumeration date
01/09/2007
Last updated
09/18/2012
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