MEDICARE: DR. JOSEPH B DREW M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208800000X	Urology Physician	6257	NV

General Provider Information

NPI Number	:	1770540064
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH B DREW M.D.

Provider Business Mailing Address
First Line	:	5560 KIETZKE LN
Second Line	:	BLDG A
City	:	RENO
State	:	NV
Zip	:	89511-3019
Country	:	US
Telephone Number	:	775-322-7811
Fax Number	:	775-322-1431

Provider Business Practice Location Address
First Line	:	5560 KIETZKE LN
Second Line	:	BLDG A
City	:	RENO
State	:	NV
Zip	:	89511-3019
Country	:	US
Telephone Number	:	775-322-7811
Fax Number	:	775-322-1431

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/28/2006
Last Update Date	:	07/13/2018

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