Individual
DAVID L RADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD P C
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
11987
AL
208600000X
Surgery Physician
11987
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
84730
BLUE CROSS PROVIDER
AL
01
—
C70956
UPIN
AL
Enumeration date
10/18/2005
Last updated
09/03/2023
Update your record
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