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NPI Code Detail

MEDICARE: DR. RICHARD EUGENE DRAPER DO

MEDICARE: DR. RICHARD EUGENE DRAPER DO
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
1207PE0004XEmergency Medical Services (Emergency Medicine) PhysicianR4C22MO
2207PE0005XUndersea and Hyperbaric Medicine (Emergency Medicine) PhysicianR4C22MO
3207P00000XEmergency Medicine PhysicianR4C22MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1R4C22OTHERMOMO. PHYSICIAN LICENSE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1952336554
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RICHARD EUGENE DRAPER DO
Provider Business Mailing Address
First Line : 10456 KNOB NOSTER RD
Second Line :
City : KNOB NOSTER
State : MO
Zip : 65336-3105
Country : US
Telephone Number : 189-771-5529
Fax Number : 573-240-9861
Provider Business Practice Location Address
First Line : 3100 OAK GROVE RD
Second Line :
City : POPLAR BLUFF
State : MO
Zip : 63901-1573
Country : US
Telephone Number : 573-776-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2006
Last Update Date : 09/23/2024

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