Individual
ELENA M CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1014 SAINT CLAIR BLVD, SUITE 3000, GONZALES, LA 70737-5023
(225) 647-8511
Mailing address
1014 SAINT CLAIR BLVD, SUITE 3000, GONZALES, LA 70737-5023
(225) 647-8511
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD60345464
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1065072
—
LA
01
—
MD60345464
STATE LICENSE
WA
Enumeration date
05/14/2008
Last updated
10/31/2014
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