Individual
DUDLEY T MOORHEAD II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1135 116TH AVE NE STE 220, BELLEVUE, WA 98004-4623
(425) 450-7007
(425) 450-0026
Mailing address
1135 116TH AVE NE STE 220, BELLEVUE, WA 98004-4623
(425) 450-7007
(425) 450-0026
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
MD00016496
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1371004
—
WA
Enumeration date
07/17/2006
Last updated
11/29/2007
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