Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0402X | Child Neurologist | MD00019344 | WA |
NPI | 1124102843 |
---|---|
Provider Name | Brien W. Vlcek |
First Address | Seattle, WA 98124-8426 |
Second Address | Seattle, WA 98122-4328 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/10/2006 |
Last Update Date | 01/03/2021 |