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Individual
CURTIS GLENN CAMPBELL
Active
Individual
CURTIS GLENN CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MMSC. PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA 60178683
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1810142
—
LA
01
—
5CRPB63
MEDICARE PTAN
LA
01
—
PA60178683
WA ALLOPATHIC BOARD
WA
Enumeration date
05/15/2009
Last updated
11/12/2023
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