Individual
DR. DONALD L BADER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2025 12TH AVE RD, NAMPA, ID 83686-6459
(208) 461-1000
Mailing address
2025 12TH AVE RD, NAMPA, ID 83686-6459
(208) 461-1000
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0-920
ID
Other
Enumeration date
06/18/2007
Last updated
07/08/2007
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