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MICK G DRAGE LLC
NPI 1790120129
Physician Assistant in Safford, AZ

Active since April 29, 2013
1515 S 20TH AVE, SAFFORD, AZ 85546(928) 348-1370 Get Directions Write a Review

NPPES record last updated: April 29, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mick G Drage Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICK G DRAGE LLC (NPI 1790120129) is a healthcare organization registered as a physician assistant in Safford, Arizona and active in the NPI registry since April 2013. The organization lists Micky G Drage, Business Owner, as its authorized official.

NPPES Registry Identity

NPI1790120129
Entity TypeOrganization
Primary Taxonomy363A00000X
Legal Business NameMICK G DRAGE LLC
Location Address1515 S 20TH AVESafford, AZ 85546-4009
Mailing Address1515 S 20th AveSafford, AZ 85546-4009 · (928) 348-1370
Phone(928) 348-1370
Organization SubpartNo
Authorized OfficialMicky G DrageBusiness Owner · (928) 348-1370
Enumeration DateApril 29, 2013
✔ NPI 1790120129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in AZ · 2585
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1515 S 20TH AVE, Safford, AZ 85546
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Other Identifiers 1

Medicaid639354AZ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GREGG PHILLIPS STANDAGE M.D.
Internal Medicine
1515 S 20TH AVE
SAFFORD, AZ 85546
Graham County (928) 348-1370
AZ MOBILE IMAGING
Radiology (Body Imaging)
1515 S 20TH AVE
SAFFORD, AZ 85546
Graham County (928) 243-8650
GREGG P STANDAGE MD
Specialist
1515 S 20TH AVE
SAFFORD, AZ 85546
Graham County (928) 348-1370
MICK GENE DRAGE PA-C
Physician Assistant
1515 S 20TH AVE
SAFFORD, AZ 85546
Graham County (928) 348-1370

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mick G Drage LLC's NPI number?

The NPI number for Mick G Drage LLC is 1790120129. It was assigned to this organization in the NPPES registry on April 29, 2013.

Where is Mick G Drage LLC located?

Mick G Drage LLC is located at 1515 S 20th Ave, Safford, AZ 85546. The listed phone number is (928) 348-1370.

What is Mick G Drage LLC's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Mick G Drage LLC was last updated on April 29, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.