Organization
DAVID E DRAKE DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID E DRAKE DO (PRES OWNER)
(515) 288-8000
Entity
Organization
Contact information
Practice address
1221 CENTER, #3, DES MOINES, IA 50309-1014
(515) 288-8000
(515) 288-4073
Mailing address
2213 GRAND AVE, DES MOINES, IA 50312-5305
(515) 237-3974
(515) 883-2692
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
02908
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1154481273
WELLMARK BCBS
IA
05
—
1154481273
—
IA
05
—
2121004
—
IA
01
—
DP1972
RR MEDICARE
IA
Enumeration date
12/11/2006
Last updated
05/23/2016
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