Individual
MS. BRANDY DELANE DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1906 BLAKE AVE, GLENWOOD SPRINGS, CO 81601-4227
(970) 945-6535
Mailing address
1906 BLAKE AVE, GLENWOOD SPRINGS, CO 81601-4227
(970) 945-6535
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
51622
CO
207PH0002X
Hospice and Palliative Medicine (Emergency Medicine) Physician
Primary
DR.0051622
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023063
KAISER COMMERCIAL NUMBER
CO
05
—
61103527
—
CO
Enumeration date
05/07/2009
Last updated
03/17/2018
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