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NPI Code Detail

MEDICARE: DR. JUSTO GONZALEZ-TRAPAGA M.D.

MEDICARE: DR. JUSTO GONZALEZ-TRAPAGA M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RN0300XNephrology Physician036160186IL
2207RN0300XNephrology Physician077267GA
3207RN0300XNephrology Physician2022014600MO
4207RN0300XNephrology PhysicianMD-49740IA

General Provider Information

NPI Number : 1477553865
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JUSTO GONZALEZ-TRAPAGA M.D.
Provider Business Mailing Address
First Line : PO BOX 1239
Second Line :
City : HANNIBAL
State : MO
Zip : 63401-1239
Country : US
Telephone Number : 573-629-3500
Fax Number : 573-629-3534
Provider Business Practice Location Address
First Line : 6500 HOSPITAL DR
Second Line :
City : HANNIBAL
State : MO
Zip : 63401-6890
Country : US
Telephone Number : 573-629-3503
Fax Number : 573-629-3534
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2005
Last Update Date : 07/30/2025

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Directions to “ DR. JUSTO GONZALEZ-TRAPAGA M.D.” Practice Location

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