Individual
JEFFREY BARD MOO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 E JEFFERSON ST, SUITE 600, SEATTLE, WA 98122-5698
(206) 320-2600
Mailing address
16529 9TH PL NW, SHORELINE, WA 98177-3723
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
27908
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1111038
—
WA
01
—
130982
LABOR & INDUSTRIES NUMBER
WA
Enumeration date
04/19/2006
Last updated
05/06/2021
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