Individual
MR. TERRY D MILAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2525 NE 139TH ST, VANCOUVER, WA 98686-2719
(360) 882-2778
(360) 604-1787
Mailing address
700 NE 87TH AVE, VANCOUVER, WA 98664-1913
(360) 882-2778
(360) 604-1787
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD00043664
WA
208800000X
Urology Physician
MD8698
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8398646
—
WA
Enumeration date
09/26/2006
Last updated
09/23/2013
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