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1770607111
MARK ANTHONY DRAKE
SAINT LOUIS, MO
NPI
1770607111
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: MO 2007006286)
Enumeration Date
2007-03-19
Last Update Date
2017-03-14
Business Address
Dr. MARK ANTHONY DRAKE D.O.
10012 KENNERLY RD SUITE 406
SAINT LOUIS, MO 63128-2197
Phone number: 314-525-1224
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Mailing Address
Dr. MARK ANTHONY DRAKE D.O.
10012 KENNERLY RD STE 406
SAINT LOUIS, MO 63128-2197
Phone number: 314-525-1224
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