Individual
DANIEL MOYNIHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2525 NE 139TH ST STE 260, VANCOUVER, WA 98686-2719
(360) 735-8100
(360) 735-3400
Mailing address
2525 NE 139TH ST STE 260, VANCOUVER, WA 98686-2719
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00030301
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8143174
—
WA
Enumeration date
07/19/2006
Last updated
11/05/2007
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