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Mick G Drage LLC

Physician Assistant in Safford, AZ · enumerated 2013 · authorized official Micky Drage, Business Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1790120129

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Registry record

Entity type Organization (Type 2)
Legal business name Mick G Drage LLC
Practice address 1515 S 20th Ave, Safford, AZ, 85546
Phone (928) 348-1370
Enumeration date Apr 29, 2013
Last updated in NPPES Apr 29, 2013

Taxonomy & classification

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 2585 (AZ) Primary

Authorized official

Name Micky Drage
Title Business Owner
Phone (928) 348-1370

Other identifiers

Identifier Type State Issuer
639354 Medicaid AZ -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Mick G Drage LLC?
NPPES lists Micky Drage (Business Owner) as the authorized official for this organization.
What is the NPI number for Mick G Drage LLC?
The NPI for Mick G Drage LLC is 1790120129, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-04-29.