Individual
DR. PHILLIP EDWARD MILAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15602 MAIN ST. NE, 200, DUVALL, WA 98019
(425) 788-2490
(425) 788-2462
Mailing address
PO BOX 516, DUVALL, WA 98019-0516
(425) 788-2490
(425) 788-2462
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00039262
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
143070
LABOR & INDUSTRIES
WA
05
—
8269995
—
WA
Enumeration date
11/18/2005
Last updated
08/23/2007
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