Organization
W ALLEN RADER, MD PC
Active
Organization
W ALLEN RADER, MD PC
Active
Other names
Idaho Weight Loss
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILBUR ALLEN RADER MD (PRESIDENT)
(208) 343-3652
Entity
Organization
Contact information
Practice address
801 N STILSON RD, BOISE, ID 83703-5145
(208) 343-3652
(208) 367-9188
Mailing address
801 N STILSON RD, BOISE, ID 83703-5145
(208) 343-3652
(208) 367-9188
Taxonomy
Speciality
Code
Description
License number
State
207RB0002X
Obesity Medicine (Internal Medicine) Physician
Primary
M7878
ID
Other
Enumeration date
05/23/2013
Last updated
05/23/2013
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