Provider Demographics
NPI:1851575575
Name:DUANE, DRAKE D (MD)
Entity Type:Individual
Prefix:DR
First Name:DRAKE
Middle Name:D
Last Name:DUANE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:8585 E BELL RD
Mailing Address - Street 2:SUITE 101-A
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-1303
Mailing Address - Country:US
Mailing Address - Phone:480-860-1222
Mailing Address - Fax:480-860-0029
Practice Address - Street 1:8585 E BELL RD
Practice Address - Street 2:SUITE 101-A
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-1303
Practice Address - Country:US
Practice Address - Phone:480-860-1222
Practice Address - Fax:480-860-0029
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-18
Last Update Date:2016-09-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ169032084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ63732Medicare PIN