NPI 1811262280

Terrance Stephen Drake, MD

Practitioner Adult Medicine Physician Highland, UT

Practice location

Address: 5563 Coventry Rd, Highland, UT 84003-3473
Phone: (801) 216-4581

Registered specialties

Adult Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207QA0505X Licence 7584822-1205 (UT)

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Registry record

NPI: 1811262280
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Mar 2012
Record last updated: 18 Mar 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.