Provider Demographics
NPI:1821309584
Name:SAKO, BRADLEE K (MD)
Entity Type:Individual
Prefix:
First Name:BRADLEE
Middle Name:K
Last Name:SAKO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:401 WEST SECOND ST.
Mailing Address - Street 2:NELSON/235D/MS 353
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89503
Mailing Address - Country:US
Mailing Address - Phone:775-784-1223
Mailing Address - Fax:775-327-2006
Practice Address - Street 1:123 17TH ST.
Practice Address - Street 2:BRIGHAM BLDG / MS 316
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89557
Practice Address - Country:US
Practice Address - Phone:775-784-1533
Practice Address - Fax:775-784-8075
Is Sole Proprietor?:No
Enumeration Date:2010-06-28
Last Update Date:2013-08-06
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Provider Licenses
StateLicense IDTaxonomies
WAML60166288207Q00000X
NV14868207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine