Individual
DR. ROBERT LAMONT CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.UD
Contact information
Practice address
536 E 2ND ST, COUDERSPORT, PA 16915-9438
(814) 274-9097
(814) 274-0464
Mailing address
301 MILL ST, COUDERSPORT, PA 16915-1542
(814) 274-8655
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AT000280-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000576009002
NY BCBS
NY
01
—
01779308
PAMA
PA
01
—
CA7812655
BCBS
PA
Enumeration date
10/10/2006
Last updated
09/09/2016
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