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NPI Code Detail

MEDICARE: DR. BRADFORD SCOTT VOLK M.D.

MEDICARE: DR. BRADFORD SCOTT VOLK M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician01055440AIN
2207Q00000XFamily Medicine PhysicianMD60096330WA

General Provider Information

NPI Number : 1316948425
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRADFORD SCOTT VOLK M.D.
Provider Business Mailing Address
First Line : 125 16TH AVE E
Second Line :
City : SEATTLE
State : WA
Zip : 98112-5211
Country : US
Telephone Number : 206-326-3530
Fax Number :
Provider Business Practice Location Address
First Line : 125 16TH AVE E
Second Line :
City : SEATTLE
State : WA
Zip : 98112-5211
Country : US
Telephone Number : 206-326-3530
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2005
Last Update Date : 05/10/2021

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