NPI 1275566549

Brendon Andronicus Moodley, DPM

Practitioner Foot & Ankle Surgery Podiatrist Redmond, WA

Practice location

Address: 8980 161st Ave NE, Redmond, WA 98052
Phone: (425) 899-1115
Fax: (425) 899-1116
Mailing address: 19633 93rd Pl NE, Bothell, WA 98011-2380

Registered specialties (2)

Foot & Ankle Surgery Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X Licence PO3187 (FL)

Other Podiatrist providers in Washington →

Foot & Ankle Surgery Podiatrist

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X Licence PO 60112477 (WA)

Registry record

NPI: 1275566549
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Jul 2006
Record last updated: 19 Sep 2012

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.