Individual
JORDAN CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 AMALIA DR, BUCKHANNON, WV 26201-2200
(304) 473-2000
Mailing address
250 TIMBERWOLF DR, GRAFTON, WV 26354-8185
(304) 290-9462
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2588
WV
Other
Enumeration date
01/10/2022
Last updated
04/06/2022
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