Meet the Team

Dr Keenan Milonas MD in Liberty Lake, WA

Dr. Keenan Milonas, MD

I created Custom MD to provide the kind of medical care I believe every patient deserves- personalized, unhurried, and truly centered around you. As a concierge physician, I take the time to listen, assess all your concerns, and understand the complete picture of your health. Appointments are generally about an hour long, allowing us the space to have meaningful conversations, perform thorough evaluations, and develop a care plan tailored to your unique needs and goals.

My approach to medicine is rooted in a whole-body philosophy. Rather than simply treating symptoms, I take a deeper, more investigative approach to identify underlying causes and connections. Whether you’re seeking preventive care, answers to ongoing health concerns, or long-term support for your wellness, my focus is on finding real solutions that support your overall health, vitality, and quality of life.

By combining advanced medical expertise with a concierge level of attention and accessibility, my goal is to provide a healthcare experience where you feel heard, supported, and genuinely cared for, because exceptional medicine begins with time, trust, and a commitment to finding answers.

Bella Durazo, MA, Clinical Lead

I earned my Bachelor of Science from Eastern Washington University and gained valuable experience across a variety of clinical settings early in my career. I uphold the belief that patient-centered care is not just a goal of healthcare—it’s a fundamental human right.

For the past four years, I’ve supported both the clinical and operational sides of Custom MD. My role allows me to connect directly with patients while helping ensure the practice runs smoothly and efficiently. I value being part of each patient’s journey toward better health outcomes, especially within a broader healthcare system that can often feel impersonal.

At Custom MD, I am committed to assisting positively and compassionately in your health journey.

Bella Durazo Medical Assistant
Dana McElfish, Master Esthetician & Medical Assistant

Dana McElfish, LME, MA, MA-P

As a Master Esthetician and Medical Assistant, I offer an elevated skincare experience where advanced clinical treatments meet luxury, relaxation, and renewal. With extensive training and over a dozen advanced certifications; including Microneedling, Manual Lymphatic Drainage, Hydrodermabrasion, and the Treatment of Hyperpigmentation; I specialize in results-driven care tailored to every individual.

My philosophy is to work with the skin, supporting its natural function while addressing concerns such as aging, uneven tone, texture, and overall skin health. Each treatment is personally customized to your unique needs and goals, enhancing your skin’s natural radiance while promoting long-term skin health.

By blending medical precision with a soothing, elevated level of care, my goal is to help you achieve healthy, luminous skin—while giving you a moment to unwind, recharge, and feel truly cared for and valued.

Healthcare That Feels Personal Again

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