Doctor Name: | MRS. AMBER BLONDEAN CAMPBELL |
NPI Number: | 1689804437 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.O. |
License Number: | 2009013703 |
Business Practice Address: | 1771 Commercial St Warsaw, MO - 653553096 |
Business Phone Number: | 6604385193 |
Business Fax Number: | |
Mailing Address: | 1771 Commercial St, WARSAW |
State: | MO |
Postal Code: | 653553096 |
Phone Number: | 6604385193 |
Fax Number: | |
NPI Enumeration Date: | 07/14/2009 |
NPI Last Update Date: | 07/14/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 2009013703 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |