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Individual

MR. DAVID A CAMPBELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
11141 PARKVIEW PLAZA DR STE 200, FORT WAYNE, IN 46845-1714
(260) 266-8820
(260) 266-8829
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01043264A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000007472
M PLAN
01
000000184804
ANTHEM
01
000000636492
ANTHEM
IN
05
100108770A
IN
05
100466990
IN
01
4388517
AETNA
01
P00782359
R.R. MEDICARE
IN
Enumeration date
09/28/2006
Last updated
04/06/2023
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