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Donald Wayne Draper, PA Valid NPI

Individual provider · Physician Assistant · Fort Rucker, AL

NPI
1679564652
Type
Individual (Type 1)
Primary specialty
Physician Assistant
Specialty group
Physician Assistants & Advanced Practice Nursing Providers
Taxonomy code
363A00000X
License number
PA-376 (AL)
Sex
Male
Sole proprietor
No
Enumerated
2005-10-31
Last updated
2007-07-08
Practice location
301 Andrews Avenue, Lyster Us Army Health Clinic
Fort Rucker, AL 36362
(334) 255-7387

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