Organization
MICHAEL D. RADER M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL DAVID RADER M.D. (OWNER)
(580) 243-3376
Entity
Organization
Contact information
Practice address
1121 W 3RD ST, ELK CITY, OK 73644-5103
(580) 243-3376
(580) 243-3377
Mailing address
1121 W 3RD ST, ELK CITY, OK 73644-5103
(580) 243-3376
(580) 243-3377
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
18832
OK
Other
Enumeration date
11/03/2006
Last updated
08/21/2012
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