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Organization

SHILLMED, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. OTTO STRONACH SHILL IV DO (OWNER)
(509) 303-4001
Entity
Organization

Contact information

Practice address
12810 E NORA AVE STE F, SPOKANE VALLEY, WA 99216-1055
(509) 303-4001
(509) 286-1354
Mailing address
12810 E NORA AVE STE F, SPOKANE VALLEY, WA 99216-1055
(509) 303-4001
(509) 286-1354

Taxonomy

Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
207R00000X
Internal Medicine Physician
Primary
207RB0002X
Obesity Medicine (Internal Medicine) Physician

Other

Enumeration date
11/20/2023
Last updated
12/15/2025
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