Individual
MINDIE JOYCE CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
550 SOUTH PEORIA AVE, INDIAN HEALTH CARE RESOURSE CENTER OF TULSA, INC, TULSA, OK 74120-3820
(918) 588-1900
(918) 582-6405
Mailing address
550 SOUTH PEORIA AVE, INDIAN HEALTH CARE RESOURSE CENTER OF TULSA, INC, TULSA, OK 74120-3820
(918) 588-1900
(918) 582-6405
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1065994
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1601417
—
OK
Enumeration date
07/07/2006
Last updated
07/08/2007
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