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Individual

DR. BRADLEY JOHN CAPAWANA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
825 SE BISHOP BLVD STE 140, PULLMAN, WA 99163-5517
(509) 334-4498
(509) 339-7324
Mailing address
825 SE BISHOP BLVD STE 201, PULLMAN, WA 99163-5517
(509) 334-4498
(509) 334-0380

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
P-159
ID
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO00000638
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1108034
WA
05
2195298
WA
05
805505000
ID
Enumeration date
06/28/2005
Last updated
07/09/2025
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