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NPI Code Detail

MEDICARE: DR. ROBERT B CAMPBELL

MEDICARE:  DR. ROBERT B 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
1207XX0005XSports Medicine (Orthopaedic Surgery) Physician0101051419VA

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 : 1891717807
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT B CAMPBELL
Provider Business Mailing Address
First Line : 1115 BOULDERS PKWY STE 200
Second Line :
City : NORTH CHESTERFIELD
State : VA
Zip : 23225-4067
Country : US
Telephone Number : 804-560-5595
Fax Number : 804-560-9029
Provider Business Practice Location Address
First Line : 1849 OLD DONATION PKWY
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23454-3004
Country : US
Telephone Number : 757-422-8476
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2006
Last Update Date : 05/18/2020

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Directions to “ DR. ROBERT B CAMPBELL ” Practice Location

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