Individual
DR. WILBUR ALLEN RADER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
115 W MAIN ST, SUITE 101, BOISE, ID 83702-7302
(208) 343-3652
(208) 367-9188
Mailing address
115 W MAIN ST, SUITE 101, BOISE, ID 83702-7302
(208) 343-3652
(208) 367-9188
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
M-7878
ID
Other
Enumeration date
07/20/2006
Last updated
08/01/2007
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