Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0214X | Pediatric Pulmonologist | D0053942 | MD |
NPI | 1689873168 |
---|---|
Provider Name | Dr. Preston White Campbell III |
First Address | Bethesda, MD 20814-5231 |
Second Address | Bethesda, MD 20814-5231 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2007 |
Last Update Date | 13/07/2007 |