Travis Reed Moulton, DO

NPI #1760744403 in Caldwell, Idaho

Provider Information

NPI Number
1760744403
Entity Type
Individual
Name
Travis Reed Moulton, DO
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Family Medicine
Credential
DO
Enumeration Date
Jun 8, 2012
Last Updated
Jan 26, 2022

Practice Location

Address
1906 FAIRVIEW AVE
Address 2
STE 230
State
Idaho
ZIP Code
83605-5407
Phone
(208) 459-4667

Specialties & Taxonomy Codes

Specialty
Family Medicine

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