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Individual

DR. KENDALL HUGH RADER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2235
(208) 381-4556
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
M-11641
ID

Other

Enumeration date
06/19/2009
Last updated
03/05/2024
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