Individual
SUSAN KATHLEEN DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4301 MOW-WAY ROAD, FORT SILL, OK 73503
(580) 458-2246
(580) 458-3411
Mailing address
17 QUAIL PLACE, LAWTON, OK 73507
(580) 529-2835
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
24561
OK
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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