Individual
DR. JAMES CLYDE CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1601 W 40TH AVE, SUITE 301, PINE BLUFF, AR 71603-6319
(870) 541-4280
(870) 541-4297
Mailing address
1601 W 40TH AVE, SUITE 301, PINE BLUFF, AR 71603-6319
(870) 541-4280
(870) 541-4297
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
C-4368
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102986001
—
AR
01
—
15457000000
QUAL CHOICE
AR
01
—
50887
BCBS
AR
01
—
5404145
AETNA
AR
Enumeration date
07/26/2005
Last updated
03/29/2016
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