Individual
DR. THOMAS GERALD DEPUYDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12707 120TH AVE NE, SUITE 203, KIRKLAND, WA 98034-7500
(425) 820-1221
(425) 821-9362
Mailing address
12707 120TH AVE NE, SUITE 203, KIRKLAND, WA 98034-7500
(425) 820-1221
(425) 821-9362
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
MD00017432
WA
207QA0505X
Adult Medicine Physician
MD00017432
WA
207QS0010X
Sports Medicine (Family Medicine) Physician
MD00017432
WA
2080S0010X
Pediatric Sports Medicine Physician
MD00017432
WA
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
MD00017432
WA
2083S0010X
Sports Medicine (Preventive Medicine) Physician
Primary
MD00017432
WA
Other
Enumeration date
07/01/2006
Last updated
09/11/2025
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