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Individual

MILES EDWARD DRAKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
JR., M.D.

Contact information

Practice address
500 E MAIN ST, SUITE 110, COLUMBUS, OH 43215-5369
(614) 265-8809
(614) 233-9201
Mailing address
500 E MAIN ST, SUITE 110, COLUMBUS, OH 43215-5369
(614) 265-8809
(614) 233-9201

Taxonomy

Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
47457
OH

Other

Enumeration date
01/25/2007
Last updated
07/08/2007
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