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R BRET CAMPBELL, DO & ASSOC, LLC

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Company Details

Name: R BRET CAMPBELL, DO & ASSOC, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 30 Oct 2015 (10 years ago)
Financial Date End: 31 Oct 2025
Entity Number: 479744
Place of Formation: IDAHO
File Number: 479744
ZIP code: 83318
County: Cassia County
Principal Address: 1404 POMERELLE AVE SUITE B BURLEY, ID 83318
Mailing Address: JENNI STE B 1404 POMERELLE AVE BURLEY, ID 83318-2013

Agent

Name Role Address
R BRET CAMPBELL Agent 1404 POMERELLE AVE SUITE B, BURLEY, ID 83318

Manager

Name Role Address Appointed On
Ronald B Campbell Manager 1404 POMERELLE AVE, , 2020-09-22

National Provider Identifier

NPI Number:
1952744641

Authorized Person:

Name:
R BRET CAMPBELL
Role:
DOCTOR OF OSTEOPATHY
Phone:

Taxonomy:

Selected Taxonomy:
363L00000X - Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
2088784576

Filing

Filing Name Filing Number Filing date
Annual Report 0005876683 2024-09-03
Annual Report 0005389765 2023-09-07
Annual Report 0004925875 2022-09-27
Annual Report 0004460160 2021-10-25
Annual Report 0004009439 2020-09-22

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Date of last update: 12 May 2025

Sources: Idaho Secretary of State