Individual
DR. JOHN BENJAMIN TRAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
333 N 18TH AVE STE A, POCATELLO, ID 83201-3358
(208) 232-7760
(208) 232-1950
Mailing address
PO BOX 4107, POCATELLO, ID 83205-4107
(208) 232-7760
(208) 232-1950
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
M-7587
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
805209000
—
ID
Enumeration date
05/02/2006
Last updated
08/08/2013
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