Individual
JUDITH R MILNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 968-2252
Mailing address
2230 RUCKER AVE, EVERETT, WA 98201
(425) 339-8023
(425) 252-4245
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD00028957
WA
2084P0804X
Child & Adolescent Psychiatry Physician
MD00028957
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073675
—
WA
01
—
AM3254721
DRS CODE
—
01
—
MD00028957
LIC UH
—
Enumeration date
04/13/2007
Last updated
09/03/2019
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