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Individual

JEFFREY LEONARD DRAVES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1471 US HWY 61, FESTUS, FESTUS, MO 63028-4109
(636) 937-2700
(636) 937-8666
Mailing address
1471 US HWY 61, FESTUS, MO 63028-4109
(636) 937-2700

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R1F43
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
010019668
R.R. MEDICARE
MO
05
202387007
MO
Enumeration date
09/08/2005
Last updated
03/03/2021
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