Individual
DR. WILLIAM K DRAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207ZC0006X
Clinical Pathology Physician
R3047
MO
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
R3047
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0006000411
BLUE CROSS BLUE SHIELD
IL
05
—
036041313
—
IL
Enumeration date
09/06/2005
Last updated
01/23/2025
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