Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 4301094897 | MI |
N | 208600000X | Surgeon | 4301094897 | MI |
Y | 208200000X | Surgeon | MD21302 | ME |
Y | 208600000X | Surgeon | MD21302 | ME |
N | 2082S0105X | Plastic Hand Surgeon | 4301094897 | MI |
N | 2082S0105X | Plastic Hand Surgeon | MD21302 | ME |
NPI | 1093049926 |
---|---|
Provider Name | Dr. Hector O'niel Campbell |
First Address | Brewer, ME 04412-1005 |
Second Address | Bangor, ME 04401 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/09/2009 |
Last Update Date | 02/04/2020 |