Organization
SAMUEL J. CAMPBELL MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL J CAMPBELL M.D. (PRESIDENT)
(573) 874-3300
Entity
Organization
Contact information
Practice address
401 KEENE ST, COLUMBIA, MO 65201-6625
(573) 874-3300
(573) 876-1633
Mailing address
401 KEENE ST, COLUMBIA, MO 65201-6625
(573) 874-3300
(573) 876-1633
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
115722
MO
2086S0129X
Vascular Surgery Physician
115722
MO
Other
Enumeration date
05/01/2006
Last updated
10/12/2007
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