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Contact Information

ROBERT L DRAKE MD
1619 N GREENWOOD
STE 107
PUEBLO, CO81003
 Phone: 719-545-0182
 Fax: 719-545-1332
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for ROBERT L DRAKE MD

NPI # 1366469306
LBN Legal business name ROBERT L DRAKE MD
Authorized official ROBERT DRAKE - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/16/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
CO License # CO23912
CO Medicaid 01239128
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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