MEDICARE: DR. PRESTON WHITE CAMPBELL III M.D.

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
1	2080P0214X	Pediatric Pulmonology Physician	D0053942	MD

General Provider Information

NPI Number	:	1689873168
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PRESTON WHITE CAMPBELL III M.D.

Provider Business Mailing Address
First Line	:	6931 ARLINGTON RD
Second Line	:
City	:	BETHESDA
State	:	MD
Zip	:	20814-5231
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6931 ARLINGTON RD
Second Line	:
City	:	BETHESDA
State	:	MD
Zip	:	20814-5231
Country	:	US
Telephone Number	:	301-907-2689
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/13/2007
Last Update Date	:	07/13/2007

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