Justin Drager, MD
Orthopaedic Surgery, Sports Medicine in Columbia, MO. Individual provider (NPI-1).
NPI number1669950754
StatusActive
Last updated in NPPESJun 7, 2019
Details
- NPI
- 1669950754
- Entity type
- Individual (NPI-1)
- Name
- Justin Drager
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 1, 2018
- Last updated
- Jun 7, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207XX0005X | Orthopaedic Surgery, Sports Medicine | 01081822A | IN | Yes |
| 207X00000X | Orthopaedic Surgery | 2017041413 | MO |
Practice location
1 Hospital DrColumbia, MO 65212-0001
Phone 573-882-6562 · Fax 573-884-0438
Mailing address
1 Westbrook Corporate CtrSte 240
Westchester, IL 60154-5745
Phone 708-236-2673
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