Individual
DR. STACIE LEIGH CAMPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2819 GREAT NORTHERN LOOP STE 200, MISSOULA, MT 59808-1750
(406) 542-7525
(406) 829-0661
Mailing address
PO BOX 7817, MISSOULA SURGICAL ASSOCIATES, MISSOULA, MT 59807
(406) 542-7525
(406) 829-0661
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
12755
MT
208600000X
Surgery Physician
MD70010853
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1417111576
—
MT
Enumeration date
07/17/2008
Last updated
06/09/2025
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