| Sno-valley Family Medicine | |
|
15602 Main St Ne 200 Duvall WA 98019 | |
| (425) 788-2490 | |
| (425) 788-2462 |
| Full Name | Sno-valley Family Medicine |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 15602 Main St Ne, Duvall, Washington |
| Authorized Official Name and Position | Phillip Edward Milam (PRESIDENT) |
| Authorized Official Contact | 4257882490 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sno-valley Family Medicine Po Box 516 Duvall WA 98019-0516 Ph: (425) 788-2490 | Sno-valley Family Medicine 15602 Main St Ne 200 Duvall WA 98019 Ph: (425) 788-2490 |
| NPI Number | 1124217377 |
|---|---|
| Provider Enumeration Date | 10/23/2007 |
| Last Update Date | 11/14/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124217377 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | MD00039262 (Washington) | Primary |
Evergreen Medical Group Duvall Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14720 Main St Ne, Ste 109, Duvall, WA 98019 Phone: 425-788-4889 Fax: 425-844-6116 |