Individual
JUSTIN DALE CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
15495 N 247 RD, OKMULGEE, OK 74447-7969
(918) 733-1351
(918) 733-1353
Mailing address
15495 N 247 RD, OKMULGEE, OK 74447-7969
(918) 733-1351
(918) 733-1353
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3562
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2591286
AETNA
—
01
—
653268
ACN GROUP, INC.
—
Enumeration date
10/26/2006
Last updated
02/06/2020
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