Individual
EARL GENE DRAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1471 US HIGHWAY 61, FESTUS, MO 63028
(636) 937-2700
(636) 937-8666
Mailing address
1471 US HIGHWAY 61, FESTUS, MO 63028-4109
(636) 937-2700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD103429
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080102341
R.R. MEDICARE
MS
05
—
208290403
—
MO
Enumeration date
09/09/2005
Last updated
03/03/2021
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