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NPI Code Detail

MEDICARE: DR. DANIEL EDWARD CAMPBELL

MEDICARE: DR. DANIEL EDWARD CAMPBELL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistCA

General Provider Information

NPI Number : 1104422047
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DANIEL EDWARD CAMPBELL
Provider Business Mailing Address
First Line : 449 CANON DEL SOL
Second Line :
City : LA SELVA BEACH
State : CA
Zip : 95076-1849
Country : US
Telephone Number : 805-403-9025
Fax Number :
Provider Business Practice Location Address
First Line : 2505 CABRILLO COLLEGE DR
Second Line :
City : APTOS
State : CA
Zip : 95003-3166
Country : US
Telephone Number : 831-464-3901
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/07/2020
Last Update Date : 12/07/2020

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Directions to “ DR. DANIEL EDWARD CAMPBELL ” Practice Location

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