Individual
CONSTANCE BLAIR CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10510 GRAVELLY LAKE DR SW, LAKEWOOD, WA 98499-5036
(253) 589-7030
(253) 589-7033
Mailing address
1019 PACIFIC AVE, STE. 300, TACOMA, WA 98402-4443
(253) 722-1540
(253) 597-4556
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD60463468
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD9572
—
AK
Enumeration date
11/11/2009
Last updated
03/26/2015
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