Individual
DR. RANDALL GALEN DRAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
15 BAY HILL CT, LAKE OZARK, MO 65049-9097
(573) 286-4412
Mailing address
15 BAY HILL CT, LAKE OZARK, MO 65049-9097
(573) 286-4412
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
13767
CA
111N00000X
Chiropractor
Primary
2009021121
MO
111N00000X
Chiropractor
2301002872
MI
Other
Enumeration date
08/19/2009
Last updated
04/02/2014
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