Organization
DRAKE REHABILITATION OUTCOMES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRANT DRAKE DO (OWNER/PROVIDER)
(208) 761-3080
Entity
Organization
Contact information
Practice address
3372 E JENALAN, POST FALLS, ID 83854-7787
(208) 761-3080
Mailing address
2656 S HARMONY AVE, BOISE, ID 83706-5053
(208) 761-3080
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
07/01/2021
Last updated
07/01/2021
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