Individual
RICHARD L DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4812 S 109TH EAST AVE, SUITE 300, TULSA, OK 74146-5822
(918) 392-1400
(918) 236-4587
Mailing address
4812 S 109TH EAST AVE, SUITE 300, TULSA, OK 74146-5822
(918) 392-1400
(918) 236-4587
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4066
OK
207X00000X
Orthopaedic Surgery Physician
OS10473
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200019710A
—
OK
Enumeration date
01/23/2008
Last updated
02/01/2017
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