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NPI Code Detail

MEDICARE: DR. AMY O CAMPBELL MD

MEDICARE:  DR. AMY O CAMPBELL  MD
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
1207R00000XInternal Medicine Physician42919CO

General Provider Information

NPI Number : 1033108642
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AMY O CAMPBELL MD
Provider Business Mailing Address
First Line : 2575 SPRUCE ST
Second Line :
City : BOULDER
State : CO
Zip : 80302-3806
Country : US
Telephone Number : 303-449-3594
Fax Number : 303-447-0462
Provider Business Practice Location Address
First Line : 2880 FOLSOM ST STE 100
Second Line :
City : BOULDER
State : CO
Zip : 80304-3769
Country : US
Telephone Number : 303-327-7047
Fax Number : 303-443-7168
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2005
Last Update Date : 08/04/2021

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Directions to “ DR. AMY O CAMPBELL MD” Practice Location

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