Individual
DR. GREGORY T TRAPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1055 N. CURTIS RD, BOISE, ID 83706-1309
(208) 367-7350
(208) 367-3951
Mailing address
3340 E. GOLDSTONE WAY, MERIDIAN, ID 83642-1026
(208) 367-5170
(208) 367-5180
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036095931
IL
207R00000X
Internal Medicine Physician
M-10440
ID
208000000X
Pediatrics Physician
036095931
IL
208M00000X
Hospitalist Physician
Primary
M10440
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036095931
—
IL
05
—
808163900
—
ID
Enumeration date
08/22/2006
Last updated
10/31/2011
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