Individual provider · Type 1 NPI

Mark Drake, D.P.M.

Foot & Ankle Surgery Podiatrist · Roseville, CA

NPI number 1184965725 Active

Practice location

5 Medical Plaza Dr, 110
Roseville, CA 95661-2865

Fax (916) 782-3490

Mailing address

3800 J St, 200
Sacramento, CA 95816-5551

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103XT09-2012 (TX)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1184965725

Mark Drake, D.P.M.'s National Provider Identifier is 1184965725, issued on Mar 6, 2013. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Roseville, CA. The record was last updated on Nov 6, 2014.