Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213ES0103X | Foot & Ankle Surgery | PO1928 | FL |
Y | 213ES0131X | Foot Surgery | 322 | AL |
NPI | 1083692974 |
---|---|
Provider Name | William David Campbell |
First Address | Birmingham, AL 35209-2646 |
Second Address | Birmingham, AL 35209-2646 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/01/2006 |
Last Update Date | 29/05/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U12361 | (02) | FL |