Individual provider · Type 1 NPI

Brendon Andronicus Moodley, DPM

Foot & Ankle Surgery Podiatrist · Redmond, WA

NPI number 1275566549 Active

Practice location

8980 161st Ave NE
Redmond, WA 98052

Fax (425) 899-1116

Mailing address

19633 93rd Pl NE
Bothell, WA 98011-2380

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103XPO3187 (FL)
Foot & Ankle Surgery Podiatrist 213ES0103XPO 60112477 (WA)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1275566549

Brendon Andronicus Moodley, DPM's National Provider Identifier is 1275566549, issued on Jul 9, 2006. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Redmond, WA. The record was last updated on Sep 19, 2012.