Individual
THERESE J CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1301 S MAIN ST, OTTAWA, KS 66067-3537
(785) 229-8200
(785) 229-8419
Mailing address
1301 S MAIN ST, OTTAWA, KS 66067-3537
(785) 229-8200
(785) 229-8419
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
15-00718
KS
Other
Enumeration date
09/30/2005
Last updated
08/15/2011
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