Individual
YARI P. CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7900 BAILEY COVE RD SE # 7, HUNTSVILLE, AL 35802-3324
(256) 261-3340
(256) 261-3337
Mailing address
7244 BAILEY COVE RD SE STE B, HUNTSVILLE, AL 35802-2868
(256) 261-3340
(256) 261-3337
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301076363
MI
207R00000X
Internal Medicine Physician
Primary
MD.35198
AL
208000000X
Pediatrics Physician
4301076363
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10208I3683
MEDICARE
AL
05
—
190448
—
AL
05
—
195682
—
AL
05
—
215325
—
AL
05
—
226757
—
AL
05
—
464322310
—
MI
01
—
700H262220
BLUE CROSS-BLUE CROSS
—
01
—
YC076363
CHAMPUS-CHAMPUS
—
Enumeration date
12/01/2006
Last updated
08/30/2022
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