MEDICARE: COLLEEN MEGAN CAMPBELL

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	363A00000X	Physician Assistant	PA64746	CA

General Provider Information

NPI Number	:	1336676956
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COLLEEN MEGAN CAMPBELL

Provider Business Mailing Address
First Line	:	100 WILSON RD STE 100
Second Line	:
City	:	MONTEREY
State	:	CA
Zip	:	93940-7885
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	611 ABBOTT ST STE 101
Second Line	:
City	:	SALINAS
State	:	CA
Zip	:	93901-4391
Country	:	US
Telephone Number	:	831-757-3041
Fax Number	:

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

Provider Enumeration Date	:	05/13/2017
Last Update Date	:	03/03/2026

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Directions to “ COLLEEN MEGAN CAMPBELL ” Practice Location

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