Individual
EDDIE DROGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
211 FOREST ST, MCCALL, ID 83638
(208) 634-2225
(208) 634-7212
Mailing address
PO BOX 1047, MCCALL, ID 83638-1047
(208) 634-2225
(208) 634-7212
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M2891
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010001142
BS SRMC
ID
01
—
000010001143
BS PLMC
ID
01
—
28910
BC PLMC
ID
01
—
D7555
BC SRMC
ID
Enumeration date
02/09/2007
Last updated
03/17/2008
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