Individual
PATRICK BOUVIER DRAKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
108 ANDREW AVE, FORT RUCKER, AL 36362
(334) 255-7826
Mailing address
56 SHERIDAN ST, FORT RUCKER, AL 36362-2140
(334) 709-4087
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/08/2008
Last updated
02/08/2008
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