Most Relevant Information
Provider Data
| NPI Number: | 1003492216 |
| Provider Name: | WILLIAM CHAD RADER |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/19/2021 |
| Last Updated: | 05/10/2022 |
Provider Practice Location
709 WEBER ST
SOUTH CHARLESTON
WV
253091129
Practice Location Phone/Fax
| Phone: | 3044441852 |
| Fax: |
Provider Mailing Location
709 WEBER ST
SOUTH CHARLESTON
WV
253091129
Provider Mailing Phone/Fax
| Phone: | 3044441852 |
| Fax: |