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Individual

PHILLIP ALLEN CAMPBELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ARNP

Contact information

Practice address
411 LAUREL ST STE 3250, DES MOINES, IA 50314-3026
(515) 643-6400
(515) 643-5816
Mailing address
PO BOX 1475, DES MOINES, IA 50305-1475
(515) 643-6400
(515) 643-5816

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A171131
IA
363LF0000X
Family Nurse Practitioner
A171131
IA

Other

Enumeration date
09/30/2022
Last updated
12/13/2022
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