Organization
JASON M DRAKE DC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON M DRAKE DC (PRESIDENT)
(701) 234-0057
Entity
Organization
Contact information
Practice address
3301 13TH AVE S, FARGO, ND 58103-6303
(701) 234-0057
(701) 234-0422
Mailing address
3301 13TH AVE S, FARGO, ND 58103-6303
(701) 234-0057
(701) 234-0422
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
721
ND
Other
Enumeration date
05/12/2010
Last updated
05/12/2010
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