Individual
DR. SHANE D. DRAPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2078 IDAHO ST, ELKO, NV 89801-2627
(775) 738-1100
(775) 738-1101
Mailing address
2078 IDAHO ST, ELKO, NV 89801-2627
(775) 738-1100
(775) 738-1101
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
9903
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002104006
—
NV
01
—
480033493
PALMETTO RAILROAD
NV
01
—
CC3776
BS FEDERAL EMP PROGRAM
NV
01
—
NV9903
BCBS OF NV
NV
Enumeration date
11/14/2005
Last updated
04/28/2025
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