Individual
JACOB R. DRUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
0101024560
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007501668
—
VA
01
—
146541
ANTHEM BC/BS
—
01
—
15315
SENTARA HEALTHCARE
VA
01
—
227938
ANTHEM BC BS
VA
Enumeration date
01/06/2006
Last updated
11/27/2013
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