Individual
DR. STEPHANIA KAY CAMPBELL TIMOTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2222 N NEVADA AVE, COLORADO SPRINGS, CO 80907-6819
(719) 776-8040
(719) 776-6820
Mailing address
711 N TAYLOR ST, GUNNISON, CO 81230-2296
(970) 641-1456
(970) 641-4461
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
DR.0040596
CO
208600000X
Surgery Physician
MD00047323
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0216073
L&I
WA
05
—
8470361
—
WA
Enumeration date
10/19/2005
Last updated
03/12/2021
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