| David E Drake Do Pc | |
|
1221 Center #3 Des Moines IA 50309-1014 | |
| (515) 288-8000 | |
| (515) 288-4073 |
| Full Name | David E Drake Do Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1221 Center, Des Moines, Iowa |
| Authorized Official Name and Position | David E Drake (PRES OWNER) |
| Authorized Official Contact | 5152888000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David E Drake Do Pc 2213 Grand Ave Des Moines IA 50312-5305 Ph: (515) 237-3974 | David E Drake Do Pc 1221 Center #3 Des Moines IA 50309-1014 Ph: (515) 288-8000 |
| NPI Number | 1154481273 |
|---|---|
| Provider Enumeration Date | 12/11/2006 |
| Last Update Date | 05/23/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154481273 | NPI | - | NPPES |
| 1154481273 | Other | IA | WELLMARK BCBS |
| 1154481273 | Medicaid | IA | |
| DP1972 | Other | IA | RR MEDICARE |
| 2121004 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 02908 (Iowa) | Primary |
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