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Individual

CAROLYN M RADER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3260 PROVIDENCE DR, C TOWER, SUITE 537, ANCHORAGE, AK 99508-4661
(907) 212-6900
Mailing address
3760 PIPER ST, SUITE 1060, ANCHORAGE, AK 99508-4665
(907) 212-6522

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
3681
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
260037961
RAILROAD MEDICARE PIN
AK
05
MD3681
AK
01
MH3148
MEDICAID MD GROUP
AK
Enumeration date
05/16/2006
Last updated
02/11/2013
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