Individual
MARY A CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
301 E BRICK ST, OZARK, MO 65721-6682
(417) 581-7285
Mailing address
PO BOX 1458, OZARK, MO 65721-1458
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
072111
MO
Other
Enumeration date
07/07/2006
Last updated
07/08/2007
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