Individual
TREVOR J CRAPO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1906 FAIRVIEW AVE STE 430, CALDWELL, ID 83605-5424
(208) 302-7450
(208) 302-7192
Mailing address
PO BOX 190930, BOISE, ID 83719-0930
(208) 302-7100
(208) 302-7155
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA-1684
ID
Other
Enumeration date
12/16/2018
Last updated
05/09/2025
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