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Individual

RYAN R. CAMPBELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1501 KINGS HWY, DEPT. OF EMS, SHREVEPORT, LA 71103
(318) 675-6632
Mailing address
1501 KINGS HWY, DEPT. OF EMS, SHREVEPORT, LA 71103-4228
(318) 675-6632

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
302035
LA
207P00000X
Emergency Medicine Physician
Primary
M-17815
ID
207P00000X
Emergency Medicine Physician
S6583
TX
207Q00000X
Family Medicine Physician
302035
LA
207Q00000X
Family Medicine Physician
S6583
TX

Other

Enumeration date
04/18/2013
Last updated
08/01/2025
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