Travis Wahl
Travis Wahl is a Physician Assistant in Boise, Idaho. Qualified in 2021, 5 years ago. Practices with St Lukes Clinic-Treasure Valley LLC, a 1,150-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Arizona and Idaho.
- Years since qualifying
- 5
- Licensed in
- AZ, ID
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
Boise, IDNo coordinates on file. Search this address in Google Maps
Additional practice locations (2)
- 435 N 5th St, Phoenix, AZ 85004-2157 — (602) 827-2450
- 6140 W Curtisian Ave Ste 300, Boise, ID 83704-0107 — (208) 302-0000
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence PA-2138 (ID) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X (AZ) |
Record details
| NPI number | 1528653045 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 5, 2021 |
| Last updated in NPPES | October 17, 2024 |
| Certification date | October 17, 2024 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Group practice | St Lukes Clinic-Treasure Valley Llc — 1150 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
| Practice locations | 6 on file with Medicare |
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