person
Dr. Bradford Deahl Granath, MD
Family Medicine Physician in Renton, Washington
NPI 1164521670

Bradford Deahl Granath is a Family Medicine Physician based in Renton, WA. Bradford Deahl Granath practices in Renton, WA and has the professional credentials of MD. The NPI Number for Bradford Deahl Granath is 1164521670 and holds a License No. 11269 (Washington).

The current practice location address for Bradford Deahl Granath is 3915 Talbot Rd S Ste 401, Renton, WA and can be reached out via phone at 425-690-3445 and via fax at 425-690-9445. You can also correspond with Bradford Deahl Granath through the mailing address at 3600 LIND AVE SW, RENTON, WA - 98057 (mailing address contact number: 425-690-3445).

Location: 3915 Talbot Rd S Ste 401, Renton, WA, 98057
person
Provider Profile Details
NPI Number
1164521670
Provider Name
Bradford Deahl Granath
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3915 Talbot Rd S Ste 401, Renton, WA, 98057
Phone Number
425-690-3445
Fax Number
425-690-9445
Provider Enumeration Date
09/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
29D1045101 01 NV CLIA WAIVED #
100507165 05 NV
11269 01 NV STATE LICENCE #
100507319 05 NV
203580193 01 NV TAX ID
CC1838 01 NV BLUECROSS BLUESHIELD #
institution
Provider Business Practice Location Address Details
Address
3915 Talbot Rd S Ste 401
City
State
Zip
98055-5738
Phone Number
425-690-3445
Fax Number
425-690-9445
person
Provider Business Mailing Address Details
Address
3915 Talbot Rd S Ste 401
City
State
Zip
98055-5738
Phone Number
425-690-3445
Fax Number
425-690-9445
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
License No.
11269 (Nevada)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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