Individual
STEVEN D DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1035 BELLEVUE AVE STE 305, SAINT LOUIS, MO 63117-1845
(314) 925-4741
(314) 925-4754
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-5534
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2013026514
MO
207Q00000X
Family Medicine Physician
R-8840
IA
Other
Enumeration date
07/02/2010
Last updated
11/11/2020
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