Individual
BRADLEY L. NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
747 BROADWAY, SEATTLE, WA 98122-4379
(206) 386-6000
Mailing address
3700 SW EDMUNDS ST, SEATTLE, WA 98126-2738
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD00037334
WA
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
MD00037334
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8325581
—
WA
Enumeration date
04/19/2006
Last updated
04/29/2010
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