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Organization

DAVID L. RADER, M.D.P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID L RADER MD (OWNER)
(205) 933-8150
Entity
Organization

Contact information

Practice address
833 SAINT VINCENTS DR, SUITE 202, BIRMINGHAM, AL 35205-1606
(205) 933-8150
(205) 558-4064
Mailing address
833 SAINT VINCENTS DR, SUITE 202, BIRMINGHAM, AL 35205-1606
(205) 933-8150
(205) 558-4064

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
11987
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
51084730
PROVIDER NUMBER
AL
Enumeration date
12/07/2006
Last updated
08/22/2020
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