Individual
EDWIN RADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30 CORTLAND ACRES LANE, THOMAS, WV 26292-9704
(304) 463-3331
(304) 463-3338
Mailing address
PO BOX 35, NEWBURG, WV 26410-0035
(304) 892-2828
(304) 892-2927
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
15058
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0052162000
—
WV
Enumeration date
09/07/2005
Last updated
03/28/2013
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