Individual
JERILYNN FORD CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
345 SOUTH HALCYON ROAD, ARROYO GRANDE, CA 93420
(805) 489-4261
Mailing address
2100 POWELL STREET, SUITE 900, EMERYVILLE, CA 94608-1803
(510) 350-2600
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A61753
CA
Other
Enumeration date
06/15/2006
Last updated
02/07/2008
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