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General NPI Number Information
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NPI Number | 1205802097
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Entity Type | Individual
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Provider Name | SANDRA LOUISE DRAGER M.D.
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Gender | Female
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Dates
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Enumeration Date | 02/23/2006
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Last Update Date | 12/28/2023
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Provider Practice Location Address
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Address Line | 2700 GATEWAY OAKS DR STE 220
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City | SACRAMENTO
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State | CA
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Zip | 95833-4337
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Country | US
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Telephone | 707-464-8875
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Fax |
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Provider Business Mailing Address
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Address Line | 2695 ROCKY MOUNTAIN AVE STE 150
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City | LOVELAND
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State | CO
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Zip | 80538-9071
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Country | US
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Telephone | 970-624-2403
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 120919
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | DR.0072225
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License Number State | CO
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