Provider Demographics
NPI:1619076395
Name:DRAMOV, ROBERT ANTHONY (NMD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:ANTHONY
Last Name:DRAMOV
Suffix:
Gender:M
Credentials:NMD
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 3095
Mailing Address - Street 2:
Mailing Address - City:CAREFREE
Mailing Address - State:AZ
Mailing Address - Zip Code:85377-3095
Mailing Address - Country:US
Mailing Address - Phone:503-639-6454
Mailing Address - Fax:877-365-3958
Practice Address - Street 1:36600 N PIMA RD UNIT 307
Practice Address - Street 2:
Practice Address - City:CAREFREE
Practice Address - State:AZ
Practice Address - Zip Code:85377-4310
Practice Address - Country:US
Practice Address - Phone:480-442-8999
Practice Address - Fax:877-365-3958
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2024-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1127175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath