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Individual

DR. MEGAN MOODY NEILL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD, MPH

Contact information

Practice address
12911 120TH AVE NE, SUITE G100, KIRKLAND, WA 98034-3027
(425) 899-4144
Mailing address
12911 120TH AVE NE, SUITE G100, KIRKLAND, WA 98034-3027
(425) 899-4144

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
BC 60473301
WA
390200000X
Student in an Organized Health Care Education/Training Program
TX

Other

Enumeration date
08/13/2009
Last updated
05/29/2014
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