Organization
R BRET CAMPBELL DO & ASSOC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
R BRET CAMPBELL D.O. (DOCTOR OF OSTEOPATHY)
(208) 878-9432
Entity
Organization
Contact information
Practice address
1501 HILAND AVE STE A, BURLEY, ID 83318-2688
(208) 878-9432
(208) 878-4576
Mailing address
1404 POMERELLE AVE, SUITE B, BURLEY, ID 83318-2688
(208) 878-9432
(208) 878-4576
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124041116
—
ID
Enumeration date
04/11/2013
Last updated
03/29/2016
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