Individual
DIANE L. RADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
15 MOTT STREET, HARMAN, WV 26270
(304) 227-4134
Mailing address
PO BOX 100, 82 PINE STREET, FRANKLIN, WV 26807-0100
(304) 358-2355
(304) 212-7383
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
501
WV
Other
Enumeration date
10/12/2005
Last updated
05/14/2021
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