Individual
DR. DOUGLAS MARTIN CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1861 WADSWORTH BLVD, LAKEWOOD, CO 80214-5225
(303) 237-5401
(303) 237-9638
Mailing address
1861 WADSWORTH BLVD, LAKEWOOD, CO 80214-5225
(303) 237-5401
(303) 237-9638
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
28726
CO
207W00000X
Ophthalmology Physician
Primary
28726
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01287267
—
CO
01
—
180007125
RR MEDICARE
CO
01
—
815434
AETNA HMO
CO
01
—
AMISR5601
HMO CO
CT
01
—
CA02292
BC/BS
CO
Enumeration date
07/20/2005
Last updated
09/06/2020
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