Spencer Campbell, M.d., Pllc | |
1002 Sw 52nd St Lawton OK 73505-7840 | |
(580) 248-2220 | |
(580) 248-2208 |
Full Name | Spencer Campbell, M.d., Pllc |
---|---|
Speciality | Internal Medicine |
Location | 1002 Sw 52nd St, Lawton, Oklahoma |
Authorized Official Name and Position | Spencer Ramon Campbell (ENDOCRINOLOGIST) |
Authorized Official Contact | 5806959613 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Spencer Campbell, M.d., Pllc 3145 Nw 61st St Oklahoma City OK 73112-4206 Ph: (580) 695-9613 | Spencer Campbell, M.d., Pllc 1002 Sw 52nd St Lawton OK 73505-7840 Ph: (580) 248-2220 |
NPI Number | 1316631518 |
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Provider Enumeration Date | 06/08/2023 |
Last Update Date | 06/08/2023 |
Medicare PECOS PAC ID | 1850754946 |
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Medicare Enrollment ID | O20230822002777 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316631518 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
Provider Name | Spencer Ramon Campbell |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1376038539 PECOS PAC ID: 3678936762 Enrollment ID: I20230823001730 |
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