SAMUEL J. CAMPBELL MD, PC
Radiology at Keene St, Columbia, MO

License number
Missouri 115722
Category
Radiology
Type
Surgery
License number
Missouri 115722
Category
Radiology
Type
Vascular Surgery
Owner
Name: DR. SAMUEL J CAMPBELL M.D.
Title: PRESIDENT
Phone: (573) 874-3300
Address
Address
401 Keene St, Columbia, MO 65201
National Provider ID: 1962460089
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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SAMUEL J. CAMPBELL, M.D., PC

Columbia, MO

Status:
Inactive
Registration:
Aug 9, 2002
Addresses:
Boone Clinic, Columbia, MO 65201 (Physical)
Boone Clinic 401 Keene St, Columbia, MO 65201 (Physical)
State ID:
P00511784
Business type:
Professional Corporation
Expiration:
Perpetual
Agent:
H.a. Walther,700 Cherry St, Columbia, MO 65201 (Physical)

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