1164416996

Everything you always wanted to know about DRAVES LEONARD JEFFREY M.D. but were afraid to ask.

DRAVES LEONARD JEFFREY M.D.

You can also download the this 1164416996 data report as csv | excel | json | xml
Provider Last Name Provider Middle Name Provider First Name Provider Credential
DRAVES LEONARD JEFFREY M.D.
Gender:
Male
Enumeration date:
2005-09-08
Last update date:
2013-01-31
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
Yes
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Identifiers

identifier description issuer state
010019668 Other R.R. MEDICARE MO
202387007 Medicaid none MO

Taxonomies

Taxonomy State License Number Primary?
207Q00000X Family Medicine MO R1F43 Y

Phone Numbers

Type Number
Mailing Address Telephone Number 6369372700
Practice Location Address Telephone Number 6369372700
Practice Location Address Fax Number 6369378666

Addresses

Type Address City State Postal Country
Mailing Address 1471 US HWY 61 FESTUS FESTUS MO 63028 MO
Practice Location Address 1471 US HWY 61 FESTUS MO 63028 MO

Other NPI Records that share a phone number

NPI Name Address State City
1164416624 DRAVES, EARL
Individual
1471 US HIGHWAY 61 MO FESTUS
1437306297 GRAY, CHRISTOPHER
Individual
1471 US HIGHWAY 61 MO FESTUS
1568452324 NASH, AMIE
Individual
1471 US HWY 61 MO FESTUS
1568592483 DRAVES FAMILY PRACTICE
Organization
1471 US HWY 61 MO FESTUS

Other NPI Records that share an address

NPI Name Address State City
1568452324 NASH, AMIE
Individual
1471 US HWY 61 MO FESTUS
1568592483 DRAVES FAMILY PRACTICE
Organization
1471 US HWY 61 MO FESTUS

Other NPI Records that share an identifier

NPI Name Address State City Identifier types that matches
1568592483 DRAVES FAMILY PRACTICE
Organization
1471 US HWY 61 MO FESTUS Identifier: 202387007 (Medicaid)