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Individual

DR. THOMAS J CAMPBELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CHIROPRACTOR

Contact information

Practice address
2616 SHERWOOD HALL LANE, SUITE 101, ALEXANDRIA, VA 22306-3100
(703) 619-1002
(703) 619-1340
Mailing address
2616 SHERWOOD HALL LANE, SUITE 101, ALEXANDRIA, VA 22306-3100
(703) 619-1002
(703) 619-1340

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104556180
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
183857
PIN NUMBER ANTHEM BCBS
VA
01
F629-0002
PIN NUMER CARE FIRST BCBS
VA
Enumeration date
12/11/2006
Last updated
05/05/2008
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