Individual
DRAKE S. MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
191 WASHINGTON ST, NORWICH, CT 06360-4249
(757) 286-9786
Mailing address
112 MANSFIELD AVE, WILLIMANTIC, CT 06226-2045
(860) 456-9116
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
6095
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/12/2022
Last updated
05/13/2024
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