Individual
TREVOR GRUBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., M.S.P.H
Contact information
Practice address
3080 E GENTRY WAY STE 210, MERIDIAN, ID 83642-3013
(208) 384-9022
Mailing address
3080 E GENTRY WAY STE 210, MERIDIAN, ID 83642-3013
(208) 384-9022
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
M-13051
ID
Other
Enumeration date
09/11/2007
Last updated
11/29/2017
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