Basic Information
| Provider Information | |||||||||
| NPI: | 1366766099 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | TRUAX | ||||||||
| FirstName: | GREGORY | ||||||||
| MiddleName: | F | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | DO | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7945 LA CIENEGA ST | ||||||||
| Address2: | |||||||||
| City: | LAS VEGAS | ||||||||
| State: | NV | ||||||||
| PostalCode: | 891231751 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5416026573 | ||||||||
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| Practice Location | |||||||||
| Address1: | 8670 W CHEYENNE AVE STE 120 | ||||||||
| Address2: | |||||||||
| City: | LAS VEGAS | ||||||||
| State: | NV | ||||||||
| PostalCode: | 891297457 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7025769608 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/24/2010 | ||||||||
| LastUpdateDate: | 02/28/2018 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | DO1805 | NV | Y | Allopathic & Osteopathic Physicians | Emergency Medicine |
No ID Information.