Individual
MR. ALTON BRENT CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2495 SHREVEPORT HIGHWAY, PINEVILLE, LA 71306
(318) 473-0010
Mailing address
156 WOODCLIFF CIRCLE, PINEVILLE, LA 71360
(318) 473-0010
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN047177
LA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN047177 APO2079
LA
Other
Enumeration date
10/05/2006
Last updated
09/11/2025
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