Darrell Tade, O.D

NPI 1871645614 · on the registry since 2007

Practice

Address: 760 Campbell Ln Ste 120
Bowling Green, KY 42104
Phone: (270) 781-3937
Fax: (270) 783-3435
Organisation at this address: Houchens Express Pharmacy Llc
Spine Stop Bowling Green, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 152W00000X
152W00000X
Licence states on file: KY
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2014-02-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky