Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | OS014210 | PA |
NPI | 1043475304 |
---|---|
Provider Name | Donald Campbell |
First Address | Franklin, PA 16323-2509 |
Second Address | Franklin, PA 16323-2509 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2008 |
Last Update Date | 25/03/2021 |