Organization
GOSPHA G, CAMPBELL MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GOSPHA G CAMPBELL MD (PHYSICIAN)
(909) 890-9393
Entity
Organization
Contact information
Practice address
1850 S WATERMAN AVE # F, SAN BERNARDINO, CA 92408-2877
(909) 890-9393
(909) 890-9394
Mailing address
1850 S WATERMAN AVE, # F, SAN BERNARDINO, CA 92408-2464
(909) 890-9393
(909) 890-9394
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
A 102029
CA
Other
Enumeration date
11/24/2008
Last updated
02/15/2012
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