| Richard Campbell Md Inc | |
|
1002 Sw 52nd St Lawton OK 73505-7840 | |
| (580) 248-2220 | |
| (580) 248-2208 |
| Full Name | Richard Campbell Md Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 1002 Sw 52nd St, Lawton, Oklahoma |
| Authorized Official Name and Position | Kim Smith (OFFICE MANAGER) |
| Authorized Official Contact | 5802482220 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard Campbell Md Inc 1002 Sw 52nd St Lawton OK 73505-7840 Ph: (580) 248-2220 | Richard Campbell Md Inc 1002 Sw 52nd St Lawton OK 73505-7840 Ph: (580) 248-2220 |
| NPI Number | 1073708863 |
|---|---|
| Provider Enumeration Date | 09/13/2007 |
| Last Update Date | 02/23/2011 |
| Medicare PECOS PAC ID | 2567409758 |
|---|---|
| Medicare Enrollment ID | O20050408001055 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073708863 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207V00000X | Obstetrics & Gynecology | (* (Not Available)) | Secondary |
| Provider Name | Richard L Campbell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851381875 PECOS PAC ID: 4284671488 Enrollment ID: I20110218000858 |
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