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Contact Information

JOHN L MOODY, MD
24961 THOMPSON DR
SEDRO-WOOLLEY, WA98284-8246
 Phone: 360-856-3115
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychosomatic Medicine

2084P0015X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for JOHN L MOODY · (Male)

NPI # 1194948117
Status Active
Credentials MD
Entity Individual
Enumeration date 04/10/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • WA License # MD00016542
  • WA Other 1045046 DSHS PROVER NUMBER
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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