Individual
FRED DUANE DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1429 N 6TH ST, TERRE HAUTE, IN 47807-1037
(812) 242-3170
(812) 235-3330
Mailing address
221 S 6TH ST, TERRE HAUTE, IN 47807-4214
(812) 242-3170
(812) 235-3330
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
01024937A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000089620
ANTHEM
—
01
—
0182870
US DEPT OF LABOR
—
01
—
040004682
RAILROAD MCARE PALAMETTO
—
05
—
100250540
—
IN
Enumeration date
08/25/2006
Last updated
03/14/2013
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