Individual
BRADLEY BLAKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2811 TIETON DR, YAKIMA, WA 98902-3761
(509) 575-8000
Mailing address
2811 TIETON DR, YAKIMA, WA 98902-3761
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
60733351
WA
Other
Enumeration date
08/27/2014
Last updated
08/15/2017
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