Organization
MELANIE JO DRAKE MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELANIE JO DRAKE MD (OWNER)
(208) 722-0899
Entity
Organization
Contact information
Practice address
3350 AMERICANA TERRACE, SUITE 360-C, BOISE, ID 83706
(208) 722-0899
(208) 205-8031
Mailing address
1116 S VISTA AVE PMB 235, BOISE, ID 83705
(208) 722-0899
(208) 205-8031
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
09/09/2024
Last updated
09/09/2024
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