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Travis Dale Nielsen, DO
Family Medicine Physician in Pocatello, Idaho
NPI 1730340365

Travis Dale Nielsen is a Family Medicine Physician based in Pocatello, ID. Travis Dale Nielsen practices in Pocatello, ID and has the professional credentials of DO. The NPI Number for Travis Dale Nielsen is 1730340365 and holds a License No. O-0554 (Idaho).

The current practice location address for Travis Dale Nielsen is 1951 Bench Rd, Pocatello, ID and can be reached out via phone at 208-238-1000 and via fax at 208-238-0009.

Location: 1951 Bench Rd, Pocatello, ID, 83201-2073
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730340365
Provider Name
Travis Dale Nielsen
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1951 Bench Rd, Pocatello, ID, 83201-2073
Phone Number
208-238-1000
Fax Number
208-238-0009
Provider Enumeration Date
06/17/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
O-0554 01 ID IDAHO BOARD OF MEDICINE REGISTRATION
institution
Provider Business Practice Location Address Details
Address
1951 Bench Rd
City
Pocatello
State
Idaho
Zip
83201-2073
Phone Number
208-238-1000
Fax Number
208-238-0009
person
Provider Business Mailing Address Details
Address
1951 Bench Rd
City
Pocatello
State
Idaho
Zip
83201-2073
Phone Number
208-238-1000
Fax Number
208-238-0009
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
O-0554 (Idaho)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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