Individual
MR. CAMPBELL WARD ERNST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MAT, LAT, ATC
Contact information
Practice address
3901 S GRANITE AVE, TULSA, OK 74135-5557
(918) 407-7703
Mailing address
3901 S GRANITE AVE, TULSA, OK 74135-5557
(918) 407-7703
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT7556
TX
Other
Enumeration date
07/04/2018
Last updated
07/04/2018
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