Individual
THOMAS G DRABEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
520 VALLEY VIEW DR, MOLINE, IL 61265-6152
(309) 762-3621
(309) 762-3690
Mailing address
520 VALLEY VIEW DR, MOLINE, IL 61265-6194
(309) 762-3621
(309) 762-3690
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
001420
IA
363AS0400X
Surgical Physician Assistant
Primary
085000534
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05706
WELLMARK
—
01
—
228910
MIDLANDS CHOICE
—
01
—
93005
WELLMARK
—
01
—
93009
WELLMARK
—
01
—
970030240
RR MEDICARE
—
Enumeration date
01/04/2006
Last updated
01/06/2011
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