Individual
ROBERT L. DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1330 COSHOCTON AVE, MOUNT VERNON, OH 43050
(740) 393-9000
(740) 392-0167
Mailing address
1330 COSHOCTON AVE, MOUNT VERNON, OH 43050
(740) 393-9000
(740) 392-0167
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
34-00-7021-D
OH
207RC0000X
Cardiovascular Disease Physician
Primary
34007021
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2135988
—
OH
Enumeration date
08/10/2005
Last updated
02/22/2021
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