| Doctor Name: | DR. JAMES HUNTER SCHRADER |
| NPI Number: | 1073757308 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O. |
| License Number: | DO153573 |
| Business Practice Address: | 190 E Bannock St St. Luke's Internal Medicine Boise, ID - 837126241 |
| Business Phone Number: | 2086473159 |
| Business Fax Number: | |
| Mailing Address: | 2976 E State St # 120-13, EAGLE |
| State: | ID |
| Postal Code: | 836166377 |
| Phone Number: | 2086473159 |
| Fax Number: | |
| NPI Enumeration Date: | 04/30/2009 |
| NPI Last Update Date: | 06/26/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | DO153573 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |