Individual
MARISA DRAZEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1460 G ST, SPRINGFIELD, OR 97477-4112
(541) 726-4400
Mailing address
685 1/4 26 RD, GRAND JUNCTION, CO 81506-1409
(970) 250-9490
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA187175
OR
Other
Enumeration date
08/23/2018
Last updated
08/23/2018
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