Individual
MS. ALLYSON MICHELLE CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1919 S WHEELING AVE, SUITE 404, TULSA, OK 74104-5638
(918) 748-7640
(918) 403-6317
Mailing address
1923 S UTICA AVE, DT1000, TULSA, OK 74104-6520
(918) 403-7054
(918) 744-2946
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2607
OK
Other
Enumeration date
02/16/2016
Last updated
04/11/2016
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