Individual
BRIAN J PADRTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
212 E CENTRAL AVE, STE 140, SPOKANE, WA 99208-6289
(509) 465-1300
(509) 465-1313
Mailing address
601 W 5TH AVE, SUITE 400, SPOKANE, WA 99204-2715
(509) 344-2663
(509) 624-9179
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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