Organization
BRYAN L. DRAKE, D.O.
Active
Other names
Family Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYAN L DRAKE D.O. (OWNER)
(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
261Q00000X
Clinic/Center
Primary
0-67
ID
Other
Enumeration date
07/04/2006
Last updated
08/22/2020
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