Organization
PHILIP E. MILAM, DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE S BRANCH (OFFICE MANAGER)
(870) 741-3877
Entity
Organization
Contact information
Practice address
520 N PINE ST, HARRISON, AR 72601-3442
(870) 741-3877
(870) 741-2406
Mailing address
520 N PINE ST, HARRISON, AR 72601-3442
(870) 741-3877
(870) 741-2406
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
152666680
—
AR
01
—
51824
ARKANSAS BLUE CROSS/BLUE SHIELD
AR
Enumeration date
04/23/2007
Last updated
11/24/2009
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