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NPI Code Detail

MEDICARE: CRAIG D CAMPBELL D.C.

MEDICARE: CRAIG D CAMPBELL D.C.
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
1111N00000XChiropractor165972-1202UT

General Provider Information

NPI Number : 1013023282
Entity Type Code : Individual
Provider Name (Legal Business Name) : CRAIG D CAMPBELL D.C.
Provider Business Mailing Address
First Line : 115 FORT UNION BLVD
Second Line :
City : MIDVALE
State : UT
Zip : 84047-1533
Country : US
Telephone Number : 801-566-4357
Fax Number : 801-566-4476
Provider Business Practice Location Address
First Line : 115 FORT UNION BLVD
Second Line :
City : MIDVALE
State : UT
Zip : 84047-1533
Country : US
Telephone Number : 801-566-4357
Fax Number : 801-566-4476
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2006
Last Update Date : 11/23/2016

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Directions to “ CRAIG D CAMPBELL D.C.” Practice Location

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