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Individual

TRAVIS D CAMPBELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
717 S HOUSTON AVE FL 4, TULSA, OK 74127-9023
(918) 382-4600
(918) 382-3183
Mailing address
717 S HOUSTON AVE FL 4, TULSA, OK 74127-9023
(918) 382-4600
(918) 382-3183

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4624
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200245920A
OK
Enumeration date
08/25/2008
Last updated
02/13/2019
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