Individual
MR. ANTHONY M DRAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
4212 N 16TH ST, PHOENIX, AZ 85016-5319
(602) 263-1536
Mailing address
4219 E MONTGOMERY RD, CAVE CREEK, AZ 85331-7863
(480) 419-8073
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
RN054012
AZ
Other
Enumeration date
02/05/2007
Last updated
07/08/2007
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