NPI 1033881628
Jerry Wayne Campbell
Practice location
- Address
- 205 S Adair St, Pryor, OK 74361-5201
- Phone
- (918) 803-2779
- Mailing address
- 901 S Elliott St, Pryor, OK 74361-7003
Registered specialties
Peer Specialist
Primary
Registry record
- NPI
- 1033881628
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 1 Oct 2021
- Record last updated
- 1 Oct 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.