Provider Demographics
NPI:1093031510
Name:DRAPER, JEFFREY STEVEN (BS, ROLFER)
Entity Type:Individual
Prefix:
First Name:JEFFREY
Middle Name:STEVEN
Last Name:DRAPER
Suffix:
Gender:M
Credentials:BS, ROLFER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6152
Mailing Address - Street 2:
Mailing Address - City:AVON
Mailing Address - State:CO
Mailing Address - Zip Code:81620-6152
Mailing Address - Country:US
Mailing Address - Phone:970-376-6068
Mailing Address - Fax:
Practice Address - Street 1:160 W. BEAVER CREEK BLVD.
Practice Address - Street 2:SUITE C
Practice Address - City:AVON
Practice Address - State:CO
Practice Address - Zip Code:81620
Practice Address - Country:US
Practice Address - Phone:970-376-6068
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-08
Last Update Date:2010-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist