GRANT DRAKE

POST FALLS, ID
NPI1083153910
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: ID  O-1469)
Enumeration Date2017-02-12
Last Update Date2025-09-26
Business Address
GRANT DRAKE D.O.
3372 E JENALAN
POST FALLS, ID 83854-7787
Phone number: 208-761-3080
Mailing Address
GRANT DRAKE D.O.
2656 S HARMONY AVE
BOISE, ID 83706-5053
Phone number: 208-761-3080