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Individual

MR. JOSHUA DALE MILAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN

Contact information

Practice address
3100 OAK GROVE RD, POPLAR BLUFF, MO 63901-1573
(573) 776-2000
Mailing address
824 E 8TH ST, RECTOR, AR 72461-2400

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2021043561
MO
363LF0000X
Family Nurse Practitioner
216077
AR

Other

Enumeration date
06/02/2021
Last updated
02/10/2022
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