# DRAVES FAMILY PRACTICE

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

## Provider details

- **NPI number:** 1568592483
- **Authorized official:** JEFFREY LEONARD DRAVES M.D. (OWNER)
- **Authorized official phone:** (636) 937-2700

## Contact information

- **Practice address:** 1471 US HWY 61, FESTUS, MO 63028-4109
- **Practice address phone:** (636) 937-2700
- **Practice address fax:** (636) 937-8666
- **Mailing address:** 1471 US HWY 61, FESTUS, MO 63028-4109
- **Mailing address phone:** (636) 937-2700
- **Mailing address fax:** (636) 937-8666

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/07/2007
- **Last updated:** 02/10/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 202387007 | — | MO |
| 05 | — | 208290403 | — | MO |
| 05 | — | 425251600 | — | MO |