Individual
ANNIE CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
333 N 1ST ST, SUITE 120, BOISE, ID 83702-6100
(208) 381-7190
(208) 381-7191
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-7190
(208) 381-7191
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
10/02/2006
Last updated
09/27/2017
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