Organization
FAMILY HEALTH ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY C DRURY M.D. (PRESIDENT)
(208) 765-5922
Entity
Organization
Contact information
Practice address
914 W IRONWOOD DR STE 101, COEUR D ALENE, ID 83814-4927
(208) 765-5922
Mailing address
914 W IRONWOOD DR STE 101, COEUR D ALENE, ID 83814-4927
(208) 765-5922
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002646100
—
ID
Enumeration date
07/21/2006
Last updated
10/23/2008
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