Individual
DR. CARL JAMES BRODIE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14100 SE 36TH ST, 105, BELLEVUE, WA 98006-1657
(425) 378-0110
(425) 378-0220
Mailing address
14100 SE 36TH ST, 105, BELLEVUE, WA 98006-1657
(425) 378-0110
(425) 378-0220
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
MD00027570
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1117969
—
WA
01
—
8562BR
REGENCE BLUESHIELD
WA
Enumeration date
08/19/2006
Last updated
07/08/2007
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