NPI 1023149630

Chad Carson Moloney, PAC

Practitioner Surgical Physician Assistant Renton, WA

Practice location

Address: 4011 Talbot Rd S Suite 300, Renton, WA 98055-5773
Phone: (425) 656-5060
Fax: (425) 656-5047
Mailing address: 805 Madison St Suite 901, Seattle, WA 98104-1172

Registered specialties

Surgical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X Licence PA10004251 (WA)

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Registry record

NPI: 1023149630
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Mar 2007
Record last updated: 13 Dec 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.