IndividualActive
Travis Clyde, M.D.
NPI 1457700262 · Sports Medicine (Family Medicine) Physician · Meridian, ID
Provider details
- NPI number
- 1457700262
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- M-14185 (ID)
Practice location
3025 W Cherry Ln Ste 205
Meridian, ID 83642-8530
Phone: (208) 302-3500
Fax: (208) 302-3555
Mailing address
Po Box 190930
Boise, ID 83719-0930
Registry dates
- Enumerated
- 2016-06-13
- Last updated
- 2024-04-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.