| Bryan L. Drake, D.o. | |
|
360 E Liberty St Weiser ID 83672-2261 | |
| (208) 414-1124 | |
| (208) 414-0947 |
| Full Name | Bryan L. Drake, D.o. |
|---|---|
| Speciality | Clinic/center |
| Location | 360 E Liberty St, Weiser, Idaho |
| Authorized Official Name and Position | Bryan L Drake (OWNER) |
| Authorized Official Contact | 2084141124 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bryan L. Drake, D.o. 360 E Liberty St Weiser ID 83672-2261 Ph: (208) 414-1124 | Bryan L. Drake, D.o. 360 E Liberty St Weiser ID 83672-2261 Ph: (208) 414-1124 |
| NPI Number | 1518997345 |
|---|---|
| Provider Enumeration Date | 07/04/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518997345 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 0-67 (Idaho) | Primary |
Weiser Valley Hospital District Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 360 E Liberty St, Weiser, ID 83672 Phone: 208-414-1124 Fax: 208-414-0947 | |
Two Rivers Medical Clinic, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 683 E 3rd St, Weiser, ID 83672 Phone: 208-549-0211 Fax: 208-549-0104 | |
Family Medical Center Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 360 E Liberty St, Weiser, ID 83672 Phone: 208-414-1124 Fax: 208-414-0947 |