Individual
ROBERT STRADER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RT
Contact information
Practice address
3907 SUMMITVIEW AVE, YAKIMA, WA 98902-2716
(509) 469-1903
(509) 469-1905
Mailing address
PO BOX 8051, YAKIMA, WA 98908-0051
(509) 469-1903
(509) 469-1905
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
RT00005601
WA
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
RT00005601
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7127954
—
WA
Enumeration date
01/27/2006
Last updated
01/21/2011
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