Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TRAVIS CLYDE, M.D.
ActiveDR. TRAVIS CLYDE, M.D. is a Sports Medicine healthcare provider located in MERIDIAN, Idaho. NPI 1457700262 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine · MERIDIAN, ID
Registration Details
- NPI Number
- 1457700262
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 13, 2016 (10.125669937963 yrs)
- Last Updated
- Apr 15, 2024
- Licenses
-
M-14185 (ID)MRM-1547 (ID)M-14185 (ID)M-14185 (ID)
Practice Information
- Address
-
3025 W CHERRY LN STE 205MERIDIAN, ID, 836428530Browse ID providers · Browse ZIP 83642
- Phone
- 2083023500
- Fax
- 2083023555
- Primary Specialty
-
Sports Medicine
207QS0010X
- Additional Specialty
- Family Medicine
- Additional Specialty
- Family Medicine
- Additional Specialty
- Sports Medicine
Other Sports Medicine Providers in MERIDIAN, ID
| Name | Credential | NPI |
|---|---|---|
| JACOB KENT CHRISTENSEN | D.O. | 1407237043 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.