Organization
CLINIC FOR COLON & RECTAL SURGERY, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT H CAMPBELL JR. M.D. (PRESIDENT)
(256) 533-6070
Entity
Organization
Contact information
Practice address
115 MANNING DR SW, SUITE D101, HUNTSVILLE, AL 35801-4315
(256) 533-6070
(256) 533-4839
Mailing address
115 MANNING DR SW, SUITE D101, HUNTSVILLE, AL 35801-4315
(256) 533-6070
(256) 533-9374
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529001580
—
AL
Enumeration date
05/12/2006
Last updated
04/04/2022
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