Individual
DR. BRADLEY PHILIP SPAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1415 E KINCAID ST, MOUNT VERNON, WA 98274-4126
(360) 428-2367
Mailing address
16611 COUNTRY CLUB DR, BURLINGTON, WA 98233-3823
(360) 757-8839
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD00018515
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1904200
—
WA
Enumeration date
06/15/2006
Last updated
08/27/2008
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