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Individual

MS. ELIZABETH E CAMPBELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
625 N FOSTER ST, MITCHELL, SD 57301-2969
(605) 995-6350
(605) 995-6353
Mailing address
525 N FOSTER ST, MITCHELL, SD 57301-2966
(605) 995-2000
(605) 994-2441

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
106807
MO
207V00000X
Obstetrics & Gynecology Physician
Primary
7424
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
207766924
MO
05
6201610
SD
01
S102975
MEDICARE PTAN
SD
Enumeration date
02/14/2006
Last updated
03/25/2010
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