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NPI Code Detail

MEDICARE: JOSHUA CAMPO MD

MEDICARE: JOSHUA CAMPO 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
1390200000XStudent in an Organized Health Care Education/Training Program
22084N0400XNeurology Physician331865LA

General Provider Information

NPI Number : 1790289577
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSHUA CAMPO MD
Provider Business Mailing Address
First Line : 3358 STATE STREET DR
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70125-4245
Country : US
Telephone Number : 985-237-3573
Fax Number :
Provider Business Practice Location Address
First Line : 3800 HOUMA BLVD STE 325
Second Line :
City : METAIRIE
State : LA
Zip : 70006-4184
Country : US
Telephone Number : 504-885-7337
Fax Number : 504-456-5172
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2018
Last Update Date : 06/08/2023

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Directions to “ JOSHUA CAMPO MD” Practice Location

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