Individual
DAVID L RADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD P C
Contact information
Practice address
3746 E FAIRWAY DR, MOUNTAIN BRK, AL 35213-4214
(205) 447-4711
Mailing address
3746 E FAIRWAY DR, MOUNTAIN BRK, AL 35213-4214
(054) 474-7112
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
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