Individual provider · Type 1 NPI
Gary R. Draper, PA-C
Medical Physician Assistant · Everett, CA
NPI number
1154404036
Active
Practice location
3322 Broadway, Suite 200
Everett, CA 98201-4425
Fax (425) 339-8283
Mailing address
200 Oceangate, Suite 100
Long Beach, CA 90802-4302
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA10002228 (WA) |
Medical Physician Assistant: Definition to come...
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About NPI 1154404036
Gary R. Draper, PA-C's National Provider Identifier is 1154404036, issued on Oct 23, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Everett, CA. The record was last updated on Jul 2, 2012.