Individual
DR. STANLEY D DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 NORTH WASHINGTON STREET, FALLS CHURCH, VA 22046-4518
(703) 237-4079
(703) 536-1551
Mailing address
2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST, KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP, ROCKVILLE, MD 20852-4908
(301) 816-6660
(301) 816-6308
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
C51858
CA
207R00000X
Internal Medicine Physician
D0037585
MD
207R00000X
Internal Medicine Physician
MD18688
DC
207RG0100X
Gastroenterology Physician
Primary
0101045383
VA
Other
Enumeration date
11/16/2006
Last updated
06/22/2021
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