Individual
WILLIAM BADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1400 JOHNSTON WILLIS DR, SUITE A, NORTH CHESTERFIELD, VA 23235-4765
(804) 379-8088
(804) 794-6067
Mailing address
1115 BOULDERS PKWY, SUITE 200, NORTH CHESTERFIELD, VA 23225-4067
(804) 560-5595
(804) 560-9029
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110-005614
VA
Other
Enumeration date
01/24/2017
Last updated
05/11/2020
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