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Individual

MR. RICHARD LLOYD TRADER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1300 YORK RD, SUITE 100, TIMONIUM, MD 21093-6016
(410) 821-9620
(410) 821-9624
Mailing address
18 WALLY CT, TIMONIUM, MD 21093-1523
(410) 560-1530

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
L0002311
MD

Other

Enumeration date
09/20/2006
Last updated
07/08/2007
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