PATRICK BOUVIER DRAKES

FORT RUCKER, AL
NPI1437337730
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy261QP2300X Clinic/Center, Primary Care
Enumeration Date2008-02-08
Last Update Date2008-02-08
Business Address
-- PATRICK BOUVIER DRAKES
108 ANDREW AVE
FORT RUCKER, AL 36362
Phone number: 334-255-7826
Mailing Address
-- PATRICK BOUVIER DRAKES
56 SHERIDAN ST
FORT RUCKER, AL 36362-2140
Phone number: 334-709-4087