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Individual

BRIAN J PADRTA

Active
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Individual

BRIAN J PADRTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
MD00032721
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010004369
REGENCE BLUE SHIELD OF ID
ID
05
—
003296700
—
ID
01
—
100723
DEPT OF LABOR & INDUSTRIE
WA
05
—
1094937
—
WA
01
—
200022105
RR MEDICARE
WA
01
—
379109600
OWCP
WA
01
—
6512
GROUP HEALTH NW
WA
01
—
8940287
CRIME VICTIMES
WA
01
—
K6443
BLUE CROSS OF IDAHO
ID
01
—
PA6715
ASURIS NW HEALTH
WA
Enumeration date
03/02/2006
Last updated
12/06/2024
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