# SHANE DRAPER LTD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205133964
- **Authorized official:** DR. SHANE D. DRAPER DPM (PRESIDENT/OWNER)
- **Authorized official phone:** (775) 738-1100

## Contact information

- **Practice address:** 1995 ERRECART BLVD, SUITE \#200, ELKO, NV 89801-8346
- **Practice address phone:** (775) 738-1100
- **Practice address fax:** (775) 738-1101
- **Mailing address:** 1995 ERRECART BLVD, SUITE \#200, ELKO, NV 89801-8346
- **Mailing address phone:** (775) 738-1100
- **Mailing address fax:** (775) 738-1101

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 9903 | NV | Yes |

## Other

- **Enumeration date:** 02/16/2011
- **Last updated:** 02/16/2011