| Doctor Name: | CHAD CARSON MOLONEY |
| NPI Number: | 1023149630 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA-C |
| License Number: | PA10004251 |
| Business Practice Address: | 4011 Talbot Rd S Suite 300 Renton, WA - 980555773 |
| Business Phone Number: | 4256565060 |
| Business Fax Number: | 4256565047 |
| Mailing Address: | 805 Madison St, Suite 901 SEATTLE |
| State: | WA |
| Postal Code: | 981041172 |
| Phone Number: | 2062648100 |
| Fax Number: | 2062648689 |
| NPI Enumeration Date: | 03/07/2007 |
| NPI Last Update Date: | 12/13/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | PA10004251 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |