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Organization
FAMILY MEDICAL CENTER PLLC
Active
Organization
FAMILY MEDICAL CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYAN L DRAKE D.O. (PARTNER)
(208) 414-1124
Entity
Organization
Contact information
Practice address
360 E LIBERTY ST, WEISER, ID 83672-2261
(208) 414-1124
(208) 414-0947
Mailing address
360 E LIBERTY ST, WEISER, ID 83672-2261
(208) 414-1124
(208) 414-0947
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/11/2006
Last updated
02/27/2008
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