MR. Shannon D Campbell, ATC/L

NPI #1801855440 in Lewiston, Idaho

Provider Information

NPI Number
1801855440
Entity Type
Individual
Name
MR. Shannon D Campbell, ATC/L
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
ATC/L
Enumeration Date
Mar 22, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
1114 9TH AVE
State
Idaho
ZIP Code
83501-2659
Phone
(208) 748-3102

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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