Individual
DR. WILLIAM P. MOMYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
24612 104TH AVE SE, KENT, WA 98030-4965
(253) 859-2373
(253) 856-8754
Mailing address
24612 104TH AVE SE, KENT, WA 98030-4965
(253) 859-2373
(253) 856-8754
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00001316
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0034012
DEPT L&I NUMBER
WA
01
—
990251585 9824KE
REGENCE BLUE SHIELD
WA
Enumeration date
12/28/2006
Last updated
07/09/2007
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