Individual
BRAD T WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
834 SHERIDAN ST, PORT TOWNSEND, WA 98368-2443
(360) 385-2200
Mailing address
409 LANE DE CHANTEL, PORT TOWNSEND, WA 98368-8815
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP30005318
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9621285
—
WA
Enumeration date
01/08/2008
Last updated
01/08/2008
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