Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | 75499 | MA |
NPI | 1144212010 |
---|---|
Provider Name | Crawford Cowles Campbell |
First Address | Salem, NH 03079-2826 |
Second Address | Salem, NH 03079-2826 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/08/2005 |
Last Update Date | 21/03/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3166635 | (05) | MA |
F62137 | (02) | MA |