Michael Ryan Campbell

NPI #1164255774 in Provo, Utah

Provider Information

NPI Number: 1164255774
Entity Type: Individual
Name: Michael Ryan Campbell
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Aug 21, 2024
Last Updated: Feb 13, 2025

Practice Location

Address: 750 N FREEDOM BLVD
City: Provo
State: Utah
ZIP Code: 84601-1677
Phone: (801) 373-4760

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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