Individual
MR. TYLER MICHAEL CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1701 S BROADWAY ST, PITTSBURG, KS 66762-7500
(417) 262-3637
Mailing address
206 W 2ND ST, LAMAR, MO 64759-1031
(417) 262-3637
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
24-01618
KS
Other
Enumeration date
08/02/2022
Last updated
08/02/2022
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