Individual
MR. TERRY TODD MILAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
525 WESTERN AVE, SUITE 201, CONWAY, AR 72034-4967
(501) 327-6665
(501) 730-0289
Mailing address
525 WESTERN AVE, SUITE 201, CONWAY, AR 72034-4967
(501) 327-6665
(501) 730-0289
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
AP123726
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
C01353
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146260701
—
AR
Enumeration date
09/30/2005
Last updated
06/19/2025
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