Individual
DR. THOMAS R. DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
70 DOCTORS PARK, CAPE GIRARDEAU, MO 63703-4928
(573) 335-6671
(573) 339-0083
Mailing address
2008 CARIBOU DR, FORT COLLINS, CO 80525-4325
(970) 484-4757
(970) 484-4759
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2023040724
MO
2085R0202X
Diagnostic Radiology Physician
DR.0055717
CO
Other
Enumeration date
06/30/2006
Last updated
01/04/2024
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