Individual
DR. DAVID J DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
49165 ROAD 426, OAKHURST, CA 93644-8621
(559) 664-4000
(559) 675-5224
Mailing address
344 E 6TH ST, MADERA, CA 93638-3631
(559) 664-4000
(559) 675-5224
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
40447
WI
207Q00000X
Family Medicine Physician
Primary
C166230
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205941481
—
WI
01
—
40447-20
LICENSE
WI
01
—
C166230
MEDICAL LICENSE
CA
Enumeration date
08/20/2006
Last updated
04/18/2024
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