Individual
MR. BRADLEY EDWARD SMITH
Active
Individual
MR. BRADLEY EDWARD SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA60514442
WA
363AS0400X
Surgical Physician Assistant
Primary
PA60514442
WA
Other
Enumeration date
10/30/2014
Last updated
05/20/2026
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