Individual
DR. BRAYTON R CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
11201 BENTON ST, 3 NW, LOMA LINDA, CA 92357-1000
(909) 825-7084
Mailing address
11852 MOUNT VERNON AVE APT 471, GRAND TERRACE, CA 92313-8302
(715) 416-0528
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
EL 1864
CA
Other
Enumeration date
07/07/2011
Last updated
07/07/2011
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