| Melanie Jo Drake Md Pllc | |
|
3350 Americana Terrace Suite 360-c Boise ID 83706 | |
| (208) 722-0899 | |
| (208) 205-8031 |
| Full Name | Melanie Jo Drake Md Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 3350 Americana Terrace, Boise, Idaho |
| Authorized Official Name and Position | Melanie Jo Drake (OWNER) |
| Authorized Official Contact | 2087220899 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Melanie Jo Drake Md Pllc 1116 S Vista Ave Pmb 235 Boise ID 83705 Ph: (208) 722-0899 | Melanie Jo Drake Md Pllc 3350 Americana Terrace Suite 360-c Boise ID 83706 Ph: (208) 722-0899 |
| NPI Number | 1194550111 |
|---|---|
| Provider Enumeration Date | 09/09/2024 |
| Last Update Date | 09/09/2024 |
| Certification Date | 09/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194550111 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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