Bryan L. Drake, D.o.

NPI #1518997345 in Weiser, Idaho

Provider Information

NPI Number: 1518997345
Entity Type: Organization
Organization Name: Bryan L. Drake, D.o.
Primary Specialty: Clinic/Center
Enumeration Date: Jul 4, 2006
Last Updated: Aug 22, 2020

Practice Location

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

Authorized Official

Name: DR. BRYAN L DRAKE, D.O.
Title: OWNER
Phone: (208) 414-1124

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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