Individual
WILLIAM DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1217 GRANDVIEW AVE, COLUMBUS, OH 43212-3455
(614) 314-7119
Mailing address
645 GARRETT DR, COLUMBUS, OH 43214-2913
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
09/16/2015
Last updated
09/16/2015
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