Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 27531 | WA |
N | 2086S0122X | Plastic and Reconstructive Surgery | MD00027531 | WA |
NPI | 1245385236 |
---|---|
Provider Name | Dr. Braden Charles Stridde |
First Address | Kirkland, WA 98033-7357 |
Second Address | Kirkland, WA 98033-7450 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/01/2007 |
Last Update Date | 04/01/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E35273 | (02) | WA |