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Individual

DR. JAMES R CAMPBELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
510 N ELM PL, BROKEN ARROW, OK 74012-2539
(918) 251-1391
(918) 251-3008
Mailing address
510 N ELM PL, BROKEN ARROW, OK 74012-2539
(918) 251-1391
(918) 251-3008

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1880
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1880
STATE LICENSE NUMBER
OK
01
731328479
TAX IDENTIFICATION NUMBER
OK
Enumeration date
08/15/2006
Last updated
02/05/2024
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