Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | E-9362 | AR |
N | 111NI0900X | Internist | E-9362 | AR |
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | E-9362 | AR |
N | 207RC0000X | Internist - Cardiovascular Disease | E-9362 | AR |
NPI | 1215113154 |
---|---|
Provider Name | Patrick Thomas Campbell |
First Address | Little Rock, AR 72211-4393 |
Second Address | Little Rock, AR 72205-6377 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/01/2008 |
Last Update Date | 21/12/2020 |