Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | MD00032721 | WA |
NPI | 1639146285 |
---|---|
Provider Name | Brian J Padrta |
First Address | Spokane, WA 99204-2715 |
Second Address | Spokane, WA 99208-6289 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/03/2006 |
Last Update Date | 11/03/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000010004369 | REGENCE BLUE SHIELD OF ID (01) | ID |
100723 | DEPT OF LABOR & INDUSTRIE (01) | WA |
1094937 | (05) | WA |
6512 | GROUP HEALTH NW (01) | WA |
8940287 | CRIME VICTIMES (01) | WA |
F48686 | (02) | |
K6443 | BLUE CROSS OF IDAHO (01) | ID |
PA6715 | ASURIS NW HEALTH (01) | WA |