Drury, Bradley C

Drury, Bradley C is an individual health care provider with primary practice located at 914 W Ironwood Dr Ste 101 , Coeur D Alene ID 83814. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Drury, Bradley C can be contacted via phone (208) 625-3500.

Contact Information

Primary practice address
914 W Ironwood Dr Ste 101 Coeur D Alene ID 83814
Phone: (208) 625-3500
Fax: (208) 625-3501
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X M6015 Idaho

Profile Details

NPI number 1366436677
LBN Legal business name Drury, Bradley C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2005
Last updated Apr 19th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366436677 NPPES
Idaho MEDICAID 00367700

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