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NPI Code Detail

MEDICARE: DR. DOUGLAS S CAMPBELL M.D.

MEDICARE: DR. DOUGLAS S CAMPBELL 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
1207P00000XEmergency Medicine Physician16025AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1023018967
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DOUGLAS S CAMPBELL M.D.
Provider Business Mailing Address
First Line : 4011 N HARRISON RD
Second Line :
City : TUCSON
State : AZ
Zip : 85749-9199
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 350 N WILMOT RD
Second Line :
City : TUCSON
State : AZ
Zip : 85711-2602
Country : US
Telephone Number : 520-872-5429
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2005
Last Update Date : 04/13/2023

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