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Individual

MR. COLIN STUART CAMPBELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP-C

Contact information

Practice address
1771 COMMERCIAL ST, WARSAW, MO 65355-3096
(660) 438-5193
Mailing address
2205 W AUBURN ST, BOLIVAR, MO 65613-3205
(417) 399-3643

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2020033730
MO
363LF0000X
Family Nurse Practitioner
214523
AR
363LF0000X
Family Nurse Practitioner
5380251102
KS
363LF0000X
Family Nurse Practitioner
66030
NM

Other

Enumeration date
01/07/2021
Last updated
03/14/2022
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