Individual
DR. RODERICK ALAN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
17000 140TH AVE NE, UNIT 201, WOODINVILLE, WA 98072-6928
(425) 481-7055
Mailing address
17000 140TH AVE NE, UNIT 201, WOODINVILLE, WA 98072-6928
(425) 481-7055
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO00000305
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1018365
—
WA
Enumeration date
01/17/2007
Last updated
08/12/2008
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