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Individual

DR. DAVID WILLIAM DRAKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
2094 E. STATE STREET, SUITE B, SALEM, OH 44460
(330) 332-1939
(330) 332-2233
Mailing address
2525 SOUTHEAST BLVD, SALEM, OH 44460-3464
(330) 332-1939
(330) 332-2233

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
34-00-2537-D
OH
207V00000X
Obstetrics & Gynecology Physician
Primary
34-00-2537D
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0348556
OH
Enumeration date
07/18/2005
Last updated
03/17/2018
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