Individual
GARY R. DRAPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3322 BROADWAY, SUITE 200, EVERETT, CA 98201-4425
(425) 348-6727
(425) 339-8283
Mailing address
200 OCEANGATE, SUITE 100, LONG BEACH, CA 90802-4302
(562) 499-6191
(562) 499-6171
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA10002228
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1036316
—
WA
Enumeration date
10/23/2006
Last updated
07/02/2012
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