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Dr. William Alan Rada, O.D.

Optometrist in Charleston, WV. Individual provider (NPI-1).

NPI number1790885655
StatusActive
Last updated in NPPESNov 10, 2014

Details

NPI
1790885655
Entity type
Individual (NPI-1)
Name
Dr. William Alan Rada
Credential
O.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Sep 22, 2006
Last updated
Nov 10, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist774-ODWVYes

Practice location

4202 Maccorkle Ave Se
Charleston, WV 25304-2502

Phone 304-925-4761

Mailing address

4202 Maccorkle Ave Se
Charleston, WV 25304-2502

Phone 304-925-4761

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