Individual
NICKOLAS BRYANT CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2488 E 81ST ST STE 290, TULSA, OK 74137-4299
(918) 494-2665
(918) 927-3201
Mailing address
2488 E 81ST ST STE 290, TULSA, OK 74137-4299
(918) 494-2665
(918) 927-3193
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5439
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
OK
Other
Enumeration date
07/12/2022
Last updated
01/30/2025
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