Organization
EC PHYSICIAN ASSISTANT PC
Active
Parent organization
EC PHYSICIAN ASSISTANT PC
Other names
Erin Campbell, PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
EC PHYSICIAN ASSISTANT PC
Authorized official
ERIN LINDSEY CAMPBELL PA (OWNER)
(520) 360-6080
Entity
Organization
Contact information
Practice address
9192 LOS PUENTES RD, NEWCASTLE, CA 95658-9706
(520) 360-6080
(208) 506-7953
Mailing address
PO BOX 506, NEWCASTLE, CA 95658-0506
(520) 360-6080
(208) 506-7953
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
54013
PA LICENSE
CA
Enumeration date
10/22/2018
Last updated
09/08/2020
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