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Individual

TODD A. BADER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
310 N L ROGERS WELLS BLVD, GLASGOW, KY 42141-1300
(270) 659-5865
(270) 659-5854
Mailing address
310 N L ROGERS WELLS BLVD, GLASGOW, KY 42141-1300
(270) 659-5865
(270) 659-5854

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
46596
KY
207V00000X
Obstetrics & Gynecology Physician
62200
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201348900
IN
05
7100398480
KY
Enumeration date
10/05/2006
Last updated
03/01/2023
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