Organization
W. ERIC SHRADER MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. W ERIC SHRADER M.D. (OWNER)
(276) 979-1323
Entity
Organization
Contact information
Practice address
986 BEN BOLT AVE, TAZEWELL, VA 24651
(276) 979-1323
(276) 979-9123
Mailing address
PO BOX 309, TAZEWELL, VA 24651-0309
(276) 979-1323
(276) 979-9123
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101037561
VA
Other
Enumeration date
02/12/2007
Last updated
11/26/2007
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