| Clay I. Campbell M.d.,p.c. | |
|
166 S 5th St Montpelier ID 83254-1557 | |
| (208) 847-3847 | |
| (208) 847-1620 |
| Full Name | Clay I. Campbell M.d.,p.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 166 S 5th St, Montpelier, Idaho |
| Authorized Official Name and Position | Clay I Campbell (OWNER) |
| Authorized Official Contact | 2088473847 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clay I. Campbell M.d.,p.c. 166 S 5th St Montpelier ID 83254-1557 Ph: (208) 847-3847 | Clay I. Campbell M.d.,p.c. 166 S 5th St Montpelier ID 83254-1557 Ph: (208) 847-3847 |
| NPI Number | 1295813475 |
|---|---|
| Provider Enumeration Date | 11/02/2006 |
| Last Update Date | 12/08/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295813475 | NPI | - | NPPES |
| 806820000 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | M-6056 (Idaho) | Primary |
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› Verified 9 days ago
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