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Dr. Jack P Campbell, M.D.

Family Medicine in San Angelo, TX. Individual provider (NPI-1).

NPI number1104860741
StatusActive
Last updated in NPPESJun 25, 2018

Details

NPI
1104860741
Entity type
Individual (NPI-1)
Name
Dr. Jack P Campbell
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Jun 15, 2006
Last updated
Jun 25, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineF6501TXYes

Practice location

2626 N Bryant Blvd
San Angelo, TX 76903

Phone 325-658-1511 · Fax 325-481-2166

Mailing address

Po Box 22000
San Angelo, TX 76902-7200

Phone 325-658-1511 · Fax 325-659-0180

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