Individual
DR. WILLIAM T. CAMPBELL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2120 W KEARNEY ST, SPRINGFIELD, MO 65803-1653
(417) 869-6191
(417) 869-4131
Mailing address
PO BOX 2580, SPRINGFIELD, MO 65801-2580
(417) 829-4620
(417) 829-4316
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2006028597
MO
2083X0100X
Occupational Medicine Physician
2006028597
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
# PENDING
—
MO
Enumeration date
10/13/2006
Last updated
05/30/2008
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