DR. Bryan L Drake, D.O.

NPI #1144264011 in Weiser, Idaho

Provider Information

NPI Number: 1144264011
Entity Type: Individual
Name: DR. Bryan L Drake, D.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: D.O.
Enumeration Date: Jun 15, 2006
Last Updated: Feb 27, 2008

Practice Location

Address: 360 E LIBERTY ST
City: Weiser
State: Idaho
ZIP Code: 83672-2261
Phone: (208) 414-1124

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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