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Individual

SCOT ELLIOT CAMPBELL

Active
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Individual

SCOT ELLIOT CAMPBELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
04-42027
KS
2085R0202X
Diagnostic Radiology Physician
10684133-1205
UT
2085R0202X
Diagnostic Radiology Physician
23227
OK
2085R0202X
Diagnostic Radiology Physician
31572
NE
2085R0202X
Diagnostic Radiology Physician
Primary
61745
CO
2085R0202X
Diagnostic Radiology Physician
M9190
TX
2085R0202X
Diagnostic Radiology Physician
MD20472
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
111257126
MEDICARE
KS
01
786784
MEDICARE
CO
01
786785
MEDICARE
CO
01
786786
MEDICARE
CO
01
786787
MEDICARE
CO
01
786789
MEDICARE
CO
01
786790
MEDICARE
CO
05
9000170776
CO
01
KA3249117
MEDICARE
KS
01
NA1214140
MEDICARE
NE
01
NA1215141
MEDICARE
NE
01
NA2517117
MEDICARE
NE
Enumeration date
01/17/2007
Last updated
12/13/2022
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