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Individual

PAUL D TRAUGHBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1000 STATE ST, MCCALL, ID 83638-3704
(208) 634-2221
Mailing address
PO BOX 9649, BOISE, ID 83707-4649
(208) 472-8127
(208) 344-1926

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
M5026
ID
2085R0204X
Vascular & Interventional Radiology Physician
M5026
ID

Other

Enumeration date
06/03/2006
Last updated
07/28/2007
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