# GOSPHA G, CAMPBELL MD INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215182803
- **Authorized official:** GOSPHA G CAMPBELL MD (PHYSICIAN)
- **Authorized official phone:** (909) 890-9393

## Contact information

- **Practice address:** 1850 S WATERMAN AVE \# F, SAN BERNARDINO, CA 92408-2877
- **Practice address phone:** (909) 890-9393
- **Practice address fax:** (909) 890-9394
- **Mailing address:** 1850 S WATERMAN AVE, \# F, SAN BERNARDINO, CA 92408-2464
- **Mailing address phone:** (909) 890-9393
- **Mailing address fax:** (909) 890-9394

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | A 102029 | CA | Yes |

## Other

- **Enumeration date:** 11/24/2008
- **Last updated:** 02/15/2012