Mick Gene Drage, PA-C

NPI #1710935499 in Safford, Arizona

Provider Information

NPI Number: 1710935499
Entity Type: Individual
Name: Mick Gene Drage, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: May 4, 2006
Last Updated: Jan 27, 2012

Practice Location

Address: 1515 S 20TH AVE
City: Safford
State: Arizona
ZIP Code: 85546-4009
Phone: (928) 348-1370

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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