Jerry Wayne Campbell

NPI #1033881628 in Pryor, Oklahoma

Provider Information

NPI Number: 1033881628
Entity Type: Individual
Name: Jerry Wayne Campbell
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Oct 1, 2021
Last Updated: Oct 1, 2021

Practice Location

Address: 205 S ADAIR ST
City: Pryor
State: Oklahoma
ZIP Code: 74361-5201
Phone: (918) 803-2779

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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