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Individual

MR. DOUGLAS EDWARD MOOMAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
AUD

Contact information

Practice address
1556 N WENATCHEE AVE, SUITE D, WENATCHEE, WA 98801
(509) 665-3100
(509) 665-9980
Mailing address
1556 N WENATCHEE AVE, SUITE D, WENATCHEE, WA 98801
(509) 665-3100
(509) 665-9980

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
LD00001173
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8076010
WA
Enumeration date
01/09/2007
Last updated
07/08/2007
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