Individual
ROBERT S CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
12207 PECOS ST, #300, WESTMINSTER, CO 80031-3400
(303) 650-0445
(303) 429-5088
Mailing address
720 S COLORADO BLVD, SUITE 220A, GLENDALE, CO 80246-1912
(303) 584-8231
(866) 210-0907
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
46
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011500
KAISER COMMERCIAL NUMBER
CO
01
—
348308
MEDICARE GROUP PTAN
CO
05
—
98579274
—
CO
01
—
C811604
MEDICARE GROUP NUMBER
CO
Enumeration date
07/14/2006
Last updated
02/24/2010
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