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NPI Code Detail

MEDICARE: STEPHEN S CAMPBELL MD

MEDICARE: STEPHEN S 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
1207Q00000XFamily Medicine Physician39618MN
2207Q00000XFamily Medicine PhysicianMD60603289WA

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 : 1316921455
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHEN S CAMPBELL MD
Provider Business Mailing Address
First Line : PO BOX 5127
Second Line :
City : EVERETT
State : WA
Zip : 98206-5127
Country : US
Telephone Number : 425-339-5456
Fax Number :
Provider Business Practice Location Address
First Line : 4410 106TH ST SW
Second Line :
City : MUKILTEO
State : WA
Zip : 98275-4700
Country : US
Telephone Number : 425-493-6000
Fax Number : 425-493-6025
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/02/2005
Last Update Date : 11/30/2023

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