Individual
MR. COLIN A DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 662-6698
Mailing address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 662-6698
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA054820
PA
Other
Enumeration date
04/18/2011
Last updated
10/10/2018
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