Individual
JACK GRIFFIN CAMPBELL
Active
Individual
JACK GRIFFIN CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
2022018059
MO
208800000X
Urology Physician
287075
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200049275
—
MO
Enumeration date
04/05/2016
Last updated
06/08/2023
Update your record
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