Individual
JOHN H DRAEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2017 JEFFERSON ST SW, ROANOKE, VA 24014-2419
(540) 853-0900
(540) 853-0518
Mailing address
213 S JEFFERSON ST STE 625, ROANOKE, VA 24011-1713
(540) 224-5516
(540) 224-5684
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101269943
VA
2084P0804X
Child & Adolescent Psychiatry Physician
MD-8717
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00F0033412
HMSA BILLING NUMBER
HI
05
—
244628-07
—
HI
Enumeration date
01/19/2007
Last updated
07/21/2021
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