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“Sports Medicine (physical Medicine & Rehabilitation) Physician” (Boise, ID)

Location: Boise, ID
Taxonomy: Sports Medicine (physical Medicine & Rehabilitation) Physician.

A provider can have more than one taxonomy code. It is critical to register all applicable taxonomy codes with NPPES and to use the correct taxonomy code to represent the specific specialty when filing claims. This will assist in more accurate and timely processing of claims.
1609453380 — TRAVIS JOHN POULSON LAT, ATC, CSCS
Practice Location Address:
1910 UNIVERSITY DR
BOISE ID
83725-0002
Practice Phone: 262-949-4026
1992807085 — DR. ROBIN JACKSON DELEON MD
Practice Location Address:
500 W FORT ST PM&R, BOISE VA MEDICAL CENTER
BOISE ID
83702-4501
Practice Phone: 208-422-1368

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