| Judith R Milner Md Inc | |
|
2230 Rucker Ave Everett WA 98201-2772 | |
| (425) 339-8023 | |
| Not Available |
| Full Name | Judith R Milner Md Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2230 Rucker Ave, Everett, Washington |
| Authorized Official Name and Position | Judith R Milner (PROPRIETOR) |
| Authorized Official Contact | 4253398023 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Judith R Milner Md Inc 2230 Rucker Ave Everett WA 98201-2772 Ph: (425) 339-8023 | Judith R Milner Md Inc 2230 Rucker Ave Everett WA 98201-2772 Ph: (425) 339-8023 |
| NPI Number | 1851927370 |
|---|---|
| Provider Enumeration Date | 03/16/2020 |
| Last Update Date | 03/16/2020 |
| Certification Date | 03/16/2020 |
| Medicare PECOS PAC ID | 0941630883 |
|---|---|
| Medicare Enrollment ID | O20200417000048 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851927370 | NPI | - | NPPES |
| 1073675 | Medicaid | WA |
| Provider Name | Judith R Milner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710102157 PECOS PAC ID: 1456502152 Enrollment ID: I20121106000075 |
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