Individual
TODD CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1815 E 70TH ST, SHREVEPORT, LA 71105-5301
(903) 234-9992
Mailing address
3535 N FOURTH ST STE 301, LONGVIEW, TX 75605-0037
(903) 234-9992
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11768755-1206
UT
Other
Enumeration date
09/10/2020
Last updated
03/31/2026
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