Individual
CONNIE DRAPCHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3215 N NORTHHILLS BLVD, FAYETTEVILLE, AR 72703-4424
(479) 463-7102
(479) 463-7864
Mailing address
3215 N NORTHHILLS BLVD, FAYETTEVILLE, AR 72703-4424
(479) 463-7102
(479) 463-7864
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
104587
MO
208M00000X
Hospitalist Physician
Primary
E-10128
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100025940A
—
OK
05
—
100150210E
—
KS
01
—
200158
BCBS
MO
05
—
206810517
—
MO
01
—
P00964932
RAIL ROAD MEDICARE
MO
Enumeration date
03/29/2006
Last updated
12/09/2016
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