Organization
CAMPBELL CHIROPRACTIC L.L.C.
Active
Other names
The Campbell Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN DALE CAMPBELL DC (OWNER)
(918) 733-1351
Entity
Organization
Contact information
Practice address
15495 N 247 RD, OKMULGEE, OK 74447-7969
(918) 733-1351
(918) 733-1353
Mailing address
15495 N 247 RD, OKMULGEE, OK 74447-7969
(918) 733-1351
(918) 733-1353
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
3562
OK
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1467860585
INDIVIDUAL NPI
OK
01
—
1700961778
INDIVIDUAL NPI
OK
Enumeration date
05/06/2008
Last updated
02/06/2020
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