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Individual

KRISTI S. MOFFAT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
14720 MAIN ST NE, SUITE 109, DUVALL, WA 98019-8460
(425) 788-4889
(425) 844-6116
Mailing address
PO BOX 34036, SEATTLE, WA 98124-1036
(425) 899-3292
(425) 899-3269

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00038948
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8291858
WA
Enumeration date
09/26/2006
Last updated
10/16/2009
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