Provider Demographics
NPI:1770540064
Name:DREW, JOSEPH B (MD)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:B
Last Name:DREW
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5560 KIETZKE LN
Mailing Address - Street 2:BLDG A
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89511-3019
Mailing Address - Country:US
Mailing Address - Phone:775-322-7811
Mailing Address - Fax:775-322-1431
Practice Address - Street 1:5560 KIETZKE LN
Practice Address - Street 2:BLDG A
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89511-3019
Practice Address - Country:US
Practice Address - Phone:775-322-7811
Practice Address - Fax:775-322-1431
Is Sole Proprietor?:No
Enumeration Date:2006-04-28
Last Update Date:2018-07-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NV6257208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD6257Medicare ID - Type Unspecified
A29770Medicare UPIN