Individual
RICHARD DERMODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
900 PACIFIC, SUITE 500, EVERETT, WA 98201
(425) 339-5430
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(425) 258-3900
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
44175
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1021194
—
WA
Enumeration date
10/04/2006
Last updated
12/11/2012
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