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Organization

DRAVES FAMILY PRACTICE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JEFFREY LEONARD DRAVES M.D. (OWNER)
(636) 937-2700
Entity
Organization

Contact information

Practice address
1471 US HWY 61, FESTUS, MO 63028-4109
(636) 937-2700
(636) 937-8666
Mailing address
1471 US HWY 61, FESTUS, MO 63028-4109
(636) 937-2700
(636) 937-8666

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
202387007
MO
05
208290403
MO
05
425251600
MO
Enumeration date
03/07/2007
Last updated
02/10/2009
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