Provider Demographics
NPI:1609182070
Name:DAVID BRYAN RAMEY
Entity Type:Organization
Organization Name:DAVID BRYAN RAMEY
Other - Org Name:DAVID BRYAN RAMEY MD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:BRYAN
Authorized Official - Last Name:RAMEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:208-667-5536
Mailing Address - Street 1:2022 N GOVERNMENT WAY
Mailing Address - Street 2:
Mailing Address - City:COEUR D ALENE
Mailing Address - State:ID
Mailing Address - Zip Code:83814-3541
Mailing Address - Country:US
Mailing Address - Phone:208-667-5536
Mailing Address - Fax:208-765-1194
Practice Address - Street 1:212 E CENTRAL AVE
Practice Address - Street 2:SUITE 315
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99208-6291
Practice Address - Country:US
Practice Address - Phone:208-667-5536
Practice Address - Fax:208-765-1194
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-24
Last Update Date:2010-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD601508622084N0400X, 2084S0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084S0012XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep MedicineGroup - Multi-Specialty
No2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Multi-Specialty