Individual
BRAD E TALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 16TH AVE E, SEATTLE, WA 98112-5226
(206) 326-3000
Mailing address
201 16TH AVE E, SEATTLE, WA 98112-5226
(206) 326-3000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
60135241
WA
390200000X
Student in an Organized Health Care Education/Training Program
1967
CO
Other
Enumeration date
05/04/2007
Last updated
05/04/2021
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