Provider Demographics
NPI:1689814766
Name:MILBY, ROBERT LEE SR (GENERAL CONTRACTOR)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:LEE
Last Name:MILBY
Suffix:SR
Gender:M
Credentials:GENERAL CONTRACTOR
Other - Prefix:
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Mailing Address - Street 1:2951 N MCRAE DR
Mailing Address - Street 2:
Mailing Address - City:WASILLA
Mailing Address - State:AK
Mailing Address - Zip Code:99654-9306
Mailing Address - Country:US
Mailing Address - Phone:907-745-4335
Mailing Address - Fax:907-745-4337
Practice Address - Street 1:2951 MCRAE DRIVE
Practice Address - Street 2:
Practice Address - City:WASILLA
Practice Address - State:AK
Practice Address - Zip Code:99654
Practice Address - Country:US
Practice Address - Phone:907-745-4335
Practice Address - Fax:907-745-4337
Is Sole Proprietor?:No
Enumeration Date:2009-03-02
Last Update Date:2009-03-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AK209308171WH0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171WH0202XOther Service ProvidersContractorHome Modifications