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DR. THOMAS GERALD DEPUYDT M.D.

Physicians Neuromusculoskeletal Medicine, Sports Medicine

Provider NPI: 1063441236

Provider Information:
DR. THOMAS GERALD DEPUYDT M.D.
Gender: M
Not Sole Proprietor

Practice Location:
12707 120TH AVE NE SUITE 203 KIRKLAND, WA 98034-7500 US
Tel: 425-820-1221  Fax: 425-821-9362

Business Mailing Address:
12707 120TH AVE NE SUITE 203 KIRKLAND, WA 98034-7500 US
Tel: 425-820-1221  Fax: 425-821-9362

NPI Information:
NPI: 1063441236
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
X204C00000XPhysicians
Neuromusculoskeletal Medicine, Sports Medicine
WAMD00017432
X207QA0505XPhysicians
Family Medicine
WAMD00017432
X207QS0010XPhysicians
Family Medicine
WAMD00017432
X2080S0010XPhysicians
Pediatrics
WAMD00017432
X2081S0010XPhysicians
Physical Medicine & Rehabilitation
WAMD00017432
X2083S0010XPhysicians
Preventive Medicine
WAMD00017432

Other Provider Identifiers:

IssuerNumberStateType




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