Individual
DR. JOHNATHAN A DREVIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
229 CLEARFIELD AVE STE 300, VIRGINIA BEACH, VA 23462-1946
(757) 457-5100
(757) 961-3696
Mailing address
4000 CAMBRIDGE ST, KANSAS CITY, KS 66160-3018
(913) 588-1227
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
0101284710
VA
208800000X
Urology Physician
0447835
KS
208800000X
Urology Physician
2023014179
MO
Other
Enumeration date
08/03/2017
Last updated
08/14/2025
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