| NPI | 1689308918 |
|---|---|
| Other Name | NICK BRYANT CAMPBELL |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OK 5439) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2022-07-12 |
| Last Update Date | 2024-12-23 |