Campo, Stacie Leigh
Campo, Stacie Leigh is an individual health care provider with primary practice located at 2819 Great Northern Loop Ste 200 , Missoula MT 59808-1750. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Campo, Stacie Leigh can be contacted via phone (406) 542-7525.Contact Information
Primary practice address
2819 Great Northern Loop Ste 200
Missoula MT 59808-1750
Phone: (406) 542-7525
Fax: (406) 829-0661
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 12755 | Montana |
Profile Details
| NPI number | 1417111576 |
|---|---|
| LBN Legal business name | Campo, Stacie Leigh |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 17th, 2008 |
| Last updated | Nov 10th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417111576 | NPPES |
| Montana | MEDICAID | 1417111576 |
Popular Providers
-
Silva, Matthew G
2819 Great Northern Loop Ste 200 , Missoula MT 59808-1750 -
Swannack, Charles J
500 W Broadway , Missoula MT 59802-4008 -
Bellamah, David H
2975 Stockyard Rd , Missoula MT 59808-1557 -
Horton, Vern Hicks
2827 Fort Missoula Rd Community Medical Center, Missoula MT 59804-7408 -
Maki, Christopher James
2819 Great Northern Loop Ste 200 , Missoula MT 59808-1750 -
Pickhardt, John Bradley
500 W Broadway , Missoula MT 59802-4008 -
Grimsley, Lori A
500 W Broadway St , Missoula MT 59802-4008 -
Pickens, John James
500 W Broadway St , Missoula MT 59802-4008