Individual
DR. MARK STEVEN CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 S 5TH ST STE 2, DOUGLAS, WY 82633-2434
(307) 358-7365
(307) 358-7347
Mailing address
PO BOX 1450, DOUGLAS, WY 82633-1450
(307) 358-2122
(307) 358-7347
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
39321
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
50424203
—
CO
Enumeration date
10/07/2005
Last updated
11/06/2013
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