Provider Demographics
NPI:1144302340
Name:CAMPER, ROBERT LEE (AUDIOLOGIST)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:LEE
Last Name:CAMPER
Suffix:
Gender:M
Credentials:AUDIOLOGIST
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 160
Mailing Address - Street 2:#1 MAIN STREET QUENTIN BURDICK HOSPITAL
Mailing Address - City:BELCOURT
Mailing Address - State:ND
Mailing Address - Zip Code:58316
Mailing Address - Country:US
Mailing Address - Phone:701-477-6111
Mailing Address - Fax:701-477-8411
Practice Address - Street 1:QUENTIN BURDICK HOSPITAL
Practice Address - Street 2:1 MAIN ST
Practice Address - City:BELCOURT
Practice Address - State:ND
Practice Address - Zip Code:58316
Practice Address - Country:US
Practice Address - Phone:701-477-6111
Practice Address - Fax:701-477-8411
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND575231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist