Individual
EDWARD ALAN DRAPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8599 W VICTORY RD, BOISE, ID 83709-4172
(208) 362-0611
(208) 362-0066
Mailing address
8599 W VICTORY RD, BOISE, ID 83709-4172
(208) 362-0611
(208) 362-0066
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
M-3104
ID
Other
Enumeration date
04/13/2007
Last updated
07/08/2007
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