# CLAY I. CAMPBELL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1952497810
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 90015 | MT | Yes |
| 207Q00000X | Family Medicine Physician | M-6065 | ID | — |

## Other

- **Enumeration date:** 10/05/2006
- **Last updated:** 06/10/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 002743700 | — | ID |
| 05 | — | 110040800 | — | WY |
| 05 | — | 806820000 | — | ID |