Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0202X | Pediatric Cardiologist | 2010019011 | MO |
NPI | 1144287871 |
---|---|
Provider Name | Dr. David Edward Draper |
First Address | Columbia, MO 65205-7687 |
Second Address | Columbia, MO 65201-8104 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/04/2006 |
Last Update Date | 25/04/2011 |