Individual
MR. PAUL BRUCE DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RRT
Contact information
Practice address
250 HOSPITAL PL, SOLDOTNA, AK 99669-7559
(907) 714-4438
Mailing address
35555 SPUR HWY, PMB 421, SOLDOTNA, AK 99669-7625
(907) 714-4438
Taxonomy
Speciality
Code
Description
License number
State
2279C0205X
Critical Care Registered Respiratory Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50721
NBRC
—
Enumeration date
05/07/2010
Last updated
05/07/2010
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