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DANIEL DAVIS DRAKE

>> Physical Medicine & Rehabilitation >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1841969276

Individual Registrant:
 DANIEL DAVIS DRAKE 
Gender: M
Not Sole Proprietor

Location and contact information for practice:
225 EAGLE CREST DR  RANGELY, CO 81648-3105 US
Tel: 970-675-4205  Fax: 970-675-4270

Contact information for business:
225 EAGLE CREST DR  RANGELY, CO 81648-3105 US
Tel: 970-675-4205  Fax: 970-675-4270

Registration Information:
NPI: 1841969276
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y208100000XAllopathic & Osteopathic Physicians
Physical Medicine & Rehabilitation
COPTA.0013794

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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