# ALTOONA ENDOCRINE SERVICES, L.L.C

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

## Provider details

- **NPI number:** 1952358483
- **Authorized official:** DR. MARK CHRISTOPHER CAMPBELL M.D. (DIRECTOR)
- **Authorized official phone:** (814) 949-2950

## Contact information

- **Practice address:** 615 HOWARD AVE, SUITE 106, ALTOONA, PA 16601-4813
- **Practice address phone:** (814) 949-2950
- **Practice address fax:** (814) 949-2960
- **Mailing address:** 615 HOWARD AVE, SUITE 106, ALTOONA, PA 16601-4813
- **Mailing address phone:** (814) 949-2950
- **Mailing address fax:** (814) 949-2960

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | MD419670 | PA | Yes |

## Other

- **Enumeration date:** 05/29/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1011489000001 | — | PA |
| 01 | — | 1539532 | GATEWAY HEALTHPLAN GROUP\# | PA |
| 01 | — | V0579B | UPMC GROUP PIN NUMBER | PA |