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Individual

MAUREEN A MOONEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
5225 CIRQUE DR W STE 200, UNIVERSITY PLACE, WA 98467-3639
(253) 848-3000
(253) 845-8750
Mailing address
1703 S MERIDIAN, STE 101, PUYALLUP, WA 98371-7590
(253) 848-3000
(253) 840-6514

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
MD00038710
WA
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
MD00038710
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8254666
WA
Enumeration date
08/04/2006
Last updated
03/07/2023
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