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Organization
KEENAN MILONAS M.D. PROFESSIONAL SERVICES PLLC
Active
Organization
KEENAN MILONAS M.D. PROFESSIONAL SERVICES PLLC
Active
Parent organization
KEENAN MILONAS M.D. PROFESSIONAL SERVICES PLLC
Other names
CUSTOM MD, CUSTOM MEDICINE MD
Organization subpart
Yes
Provider details
NPI number
Legal business name
KEENAN MILONAS M.D. PROFESSIONAL SERVICES PLLC
Authorized official
CIARA LOPEZ (ASSISTANT MANAGER)
(509) 241-3541
Entity
Organization
Contact information
Practice address
2207 N MOLTER RD STE 100, LIBERTY LAKE, WA 99019-7571
(509) 241-3541
(509) 254-6117
Mailing address
2207 N MOLTER RD STE 100, LIBERTY LAKE, WA 99019-7571
(509) 241-3541
(509) 254-6117
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/11/2022
Last updated
03/11/2022
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