MEDICARE: DAVID I DRYLAND MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RR0500X	Rheumatology Physician	22976	OR
2	207RR0500X	Rheumatology Physician	MD22976	OR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1205896115
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID I DRYLAND MD

Provider Business Mailing Address
First Line	:	1801 HIGHWAY 99 N STE 2
Second Line	:
City	:	ASHLAND
State	:	OR
Zip	:	97520-9152
Country	:	US
Telephone Number	:	541-625-6555
Fax Number	:	541-625-2968

Provider Business Practice Location Address
First Line	:	1801 HIGHWAY 99 N STE 2
Second Line	:
City	:	ASHLAND
State	:	OR
Zip	:	97520-9152
Country	:	US
Telephone Number	:	541-625-6555
Fax Number	:	541-625-2968

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/24/2006
Last Update Date	:	10/04/2023

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Directions to “ DAVID I DRYLAND MD” Practice Location

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