Organization
SHILLMED, PLLC
Active
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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