Individual
JACK GRIFFIN CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
ONE HOSPITAL DR, COLUMBIA, MO 65212-0001
(573) 882-6500
(573) 884-7453
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
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
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