Organization
LA CLINICA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID C CAMPBELL M.D. M.ED. (EXECUTIVE DIRECTOR)
(314) 664-5565
Entity
Organization
Contact information
Practice address
3646 FAIRVIEW AVE, SAINT LOUIS, MO 63116-4747
(314) 664-5564
(314) 773-0709
Mailing address
3646 FAIRVIEW AVE, SAINT LOUIS, MO 63116-4747
(314) 664-5564
(314) 773-0709
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/02/2007
Last updated
08/22/2020
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