Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TIMOTHY MOODY, M.D.
ActiveTIMOTHY MOODY, M.D. is a Public Health & General Preventive Medicine healthcare provider located in PULLMAN, Washington. NPI 1396773222 is currently active in the NPPES registry. Verify at CMS.
Public Health & General Preventive Medicine · PULLMAN, WA
Registration Details
- NPI Number
- 1396773222
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 29, 2006 (20.167682548076 yrs)
- Last Updated
- Jul 9, 2007
- License
-
MD00025084 (WA)
Practice Information
- Address
-
825 SE BISHOP BLVD STE 200PULLMAN, WA, 991635537Browse WA providers · Browse ZIP 99163
- Phone
- 5093322517
- Fax
- 5093349247
- Primary Specialty
-
Public Health & General Preventive Medicine
2083P0901X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.