Sno-Valley Family Medicine

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

MD00039262 Issued in WA

Legal business name

SNO-VALLEY FAMILY MEDICINE

Practice address

15602 Main St NE
200
Duvall, WA 98019

Phone

(425) 788-2490

Fax

(425) 788-2462

NPI assigned

Oct 23, 2007

Last updated

Nov 14, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Phillip Edward Milam, MDNPI 1376525741

Title

President

Phone

(425) 788-2490

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Phillip Edward Milam, MD

  • Family Medicine Physician
  • Duvall, WA
  • NPI 1376525741
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194998400000",
    "number": "1124217377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 516",
            "city": "DUVALL",
            "state": "WA",
            "postal_code": "980190516",
            "telephone_number": "425-788-2490",
            "fax_number": "425-788-2462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15602 MAIN ST NE",
            "address_2": "200",
            "city": "DUVALL",
            "state": "WA",
            "postal_code": "98019",
            "telephone_number": "425-788-2490",
            "fax_number": "425-788-2462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNO-VALLEY FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-23",
        "last_updated": "2007-11-14",
        "status": "A",
        "authorized_official_last_name": "MILAM",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-788-2490",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "WA",
            "license": "MD00039262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Duvall, WA
• Providers in Duvall, WA by specialty
• Primary Care Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.