Individual
DR. JASON LAYNE CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1505 E BERT KOUNS INDUSTRIAL LOOP STE 201, SHREVEPORT, LA 71105-5723
(318) 681-4103
Mailing address
PO BOX 9600, DEPT 09-038, TEXARKANA, TX 75505-9600
(877) 243-8416
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
2007013152
MO
2085R0202X
Diagnostic Radiology Physician
Primary
202098
LA
2085R0202X
Diagnostic Radiology Physician
4301080056
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1365807
—
LA
Enumeration date
05/22/2007
Last updated
04/21/2025
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