Individual
MRS. COLLETT CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPED, LPED
Contact information
Practice address
724 S MAIN ST, STILLWATER, OK 74074-4668
(405) 707-3005
(405) 707-3033
Mailing address
724 S MAIN ST, STILLWATER, OK 74074-4668
(405) 707-3005
(405) 707-3033
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
80
OK
224L00000X
Pedorthist
80
OK
Other
Enumeration date
07/27/2006
Last updated
06/10/2013
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