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Derick Moody, LMP
NPI 1558601674 · on the registry since 2013
Practice
- Address
- 4060 Wheaton Way
Ste. C
Bremerton, WA 98310 - Phone
- (360) 479-8477
- Fax
- (360) 479-8417
- Clinicians at this address
- 23
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Also registered as
- 225200000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-07-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington