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C. E. Campbell, Jr Md Pa
Specialist in Blytheville, Arkansas
NPI 1104017227

C. E. Campbell, Jr Md Pa is a Specialist based in Blytheville, AR. C. E. Campbell, Jr Md Pa practices in Blytheville, AR. The NPI Number for C. E. Campbell, Jr Md Pa is 1104017227 and holds a License No. R1755 (Arkansas).

The current practice location address for C. E. Campbell, Jr Md Pa is 609 Fulton St, Blytheville, AR and can be reached out via phone at 870-763-0855 and via fax at 870-763-0858.

Location: 609 Fulton St, Blytheville, AR, 72315-1922
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104017227
Provider Name
C. E. Campbell, Jr Md Pa
Credential
Provider Entity Type
Organization
Address
609 Fulton St, Blytheville, AR, 72315-1922
Phone Number
870-763-0855
Fax Number
870-763-0858
Provider Enumeration Date
08/05/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
103491002 05 AR
501821003 05 MO
103491002 01 AR MEDICAID (GROUP)
1114934353 01 AR INDIVIDUAL NPI
1104017227 01 AR GROUP NPI
institution
Provider Business Practice Location Address Details
Address
609 Fulton St
City
Blytheville
State
Arkansas
Zip
72315-1922
Phone Number
870-763-0855
Fax Number
870-763-0858
person
Provider Business Mailing Address Details
Address
609 Fulton St
City
Blytheville
State
Arkansas
Zip
72315-1922
Phone Number
870-763-0855
Fax Number
870-763-0858
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
R1755 (Arkansas)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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