Individual
DR. RICHARD EUGENE DRAPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3100 OAK GROVE RD, POPLAR BLUFF, MO 63901-1573
(573) 776-2000
Mailing address
10456 KNOB NOSTER RD, KNOB NOSTER, MO 65336-3105
(189) 771-5529
(573) 240-9861
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
R4C22
MO
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
R4C22
MO
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
R4C22
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1952336554
—
MO
05
—
241730563
—
MO
01
—
R4C22
MO. PHYSICIAN LICENSE
MO
Enumeration date
07/11/2006
Last updated
09/23/2024
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