Individual
BRENDON ANDRONICUS MOODLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
8980 161ST AVE NE, REDMOND, WA 98052
(425) 899-1115
(425) 899-1116
Mailing address
19633 93RD PL NE, BOTHELL, WA 98011-2380
(305) 323-2882
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
PO 60112477
WA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO3187
FL
Other
Enumeration date
07/09/2006
Last updated
09/19/2012
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