Russell Bader's National Provider Identifier (NPI) Details
Russell Bader,
NPI: 1093845356
Enumeration Date: 2007-03-06
Last updated: 2007-07-08
Sole Proprietor: YES
Status: active
Postal Address: 7461 N 1ST ST STE 104, FRESNO, CA
Phone: 559-431-0300
Primary Practice Address: 7461 N 1ST ST STE 104, FRESNO, CA
Practice's phone: 559-431-0300