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ANDRE BRUCE CAMPBELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
1310 SOUTHERN AVE SE, WASHINGTON, DC 20032-4699
(202) 574-6000
Mailing address
1200 MARYLAND AVE NE, WASHINGTON, DC 20002-5336
(202) 399-4174

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA30030
DC
363AM0700X
Medical Physician Assistant
Primary

Other

Enumeration date
05/12/2006
Last updated
03/24/2022
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