Individual
BRADLEY RICHARD POE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C, MPAS
Contact information
Practice address
209 M.L.K. JR WAY, TACOMA, WA 98405
(253) 596-3300
(206) 877-0652
Mailing address
209 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4265
(253) 596-3300
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
60794308
WA
Other
Enumeration date
10/03/2017
Last updated
05/04/2021
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