Provider Demographics
NPI:1255539409
Name:HUNT, DAVID DRAKE (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:DRAKE
Last Name:HUNT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:14684 PIKE RD
Mailing Address - Street 2:
Mailing Address - City:SARATOGA
Mailing Address - State:CA
Mailing Address - Zip Code:95070-5345
Mailing Address - Country:US
Mailing Address - Phone:408-867-0104
Mailing Address - Fax:408-868-0350
Practice Address - Street 1:14684 PIKE RD
Practice Address - Street 2:
Practice Address - City:SARATOGA
Practice Address - State:CA
Practice Address - Zip Code:95070-5345
Practice Address - Country:US
Practice Address - Phone:408-867-0104
Practice Address - Fax:408-868-0350
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-10
Last Update Date:2007-07-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAGFE8129207XS0114X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery