Individual
DR. PETER GRAVEL CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 LINE AVE STE 200, SHREVEPORT, LA 71101-4643
(318) 629-5555
(318) 629-5556
Mailing address
1500 LINE AVE STE 200, SHREVEPORT, LA 71101-4643
(318) 629-5555
(318) 629-5556
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
301918
LA
Other
Enumeration date
05/29/2007
Last updated
07/21/2022
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