Brian Rader ATC,LAT

NPI 1083883805 - Specialist/Technologist - 2255A2300X

NPI Details
NPI 1083883805
Gender Male
Enumeration Date 02/26/2008
Last Updated 02/26/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
2600 N LIMESTONE ST
SPRINGFIELD OH, 45503-1114, US
Phone (937) 342-5600
Fax (937) 342-5610
Business Location
2600 N LIMESTONE ST
SPRINGFIELD OH, 45503-1114, US
Phone (937) 342-5600
Fax (937) 342-5610
Toxanomy
Taxonomy Code 2255A2300X
License State Ohio
License Number AT001788
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According to our database, Brian Rader ATC,LAT NPI is 1083883805, taxonomy code is 2255A2300X and license number is AT001788, license state is located at Ohio. Brian Rader ATC,LAT physically located at 2600 N Limestone St, Springfield OH, 45503-1114. NPI Number Brian Rader ATC,LAT has the Individual type.

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1083883805 NPI number is provided on an as is basis without warranty of any kind. 1083883805 is maintained by the National Plan & Provider Enumeration System. The contents of Brian Rader ATC,LAT are for informational purposes only.