Individual
BRADLEY C DRURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
914 W IRONWOOD DR STE 101, COEUR D ALENE, ID 83814
(208) 625-3500
(208) 625-3501
Mailing address
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814-6051
(208) 625-5085
(208) 625-5731
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M6015
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00367700
—
ID
Enumeration date
09/01/2005
Last updated
04/19/2024
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