Individual
DENA CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6108 S 31ST ST, FORT SMITH, AR 72908-7555
(479) 648-1107
Mailing address
1200 S 41ST CIR, FORT SMITH, AR 72903-1827
(479) 653-3024
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
5075
AR
Other
Enumeration date
09/15/2015
Last updated
09/15/2015
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