Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | MD035477E | PA |
Y | 207XS0106X | Orthopaedic Hand Surgeon | MD035477E | PA |
NPI | 1033127394 |
---|---|
Provider Name | Barbara J. Campbell |
First Address | Somerset, PA 15501-2183 |
Second Address | Somerset, PA 15501-2183 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/08/2006 |
Last Update Date | 28/12/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0010422750003 | (05) | PA |
B96682 | (02) |