Individual
DAVID E DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
52 VILLAGE DR, PAGOSA SPRINGS, CO 81147-8368
(970) 264-2104
(970) 264-2108
Mailing address
185 SUTTLE ST, DURANGO, CO 81303-8276
(970) 335-2232
(970) 565-9005
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0054066
CO
2084P0800X
Psychiatry Physician
02908
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1154481273
WELLMARK BCBS
IA
05
—
1154481273
—
IA
05
—
2121004
—
IA
Enumeration date
03/18/2006
Last updated
03/17/2018
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