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Organization

PHYSICIAN'S PRIMARY CARE PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JEFFREY A CAMPBELL M.D. (PRESIDENT)
(812) 288-2488
Entity
Organization

Contact information

Practice address
1804 E 10TH ST, JEFFERSONVILLE, IN 47130-6016
(812) 288-2488
(812) 288-6603
Mailing address
1804 E 10TH ST, JEFFERSONVILLE, IN 47130-6016
(812) 288-2488
(812) 288-6603

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01036153A
IN
207Q00000X
Family Medicine Physician
23424
KY
363LF0000X
Family Nurse Practitioner
3003535
KY
363LF0000X
Family Nurse Practitioner
71001741A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200043610A
IN
01
50015623
PASSPORT
KY
05
7100141580
KY
Enumeration date
01/08/2007
Last updated
10/06/2014
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