Individual
CRAIG ALAN CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
555 PETALUMA AVE, STE B, SEBASTOPOL, CA 95472-4224
(707) 823-7602
(707) 823-7625
Mailing address
555 PETALUMA AVE, STE B, SEBASTOPOL, CA 95472-4224
(707) 823-7602
(707) 823-7625
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G13487
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G134870
—
CA
Enumeration date
09/01/2005
Last updated
01/31/2008
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