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JONATHAN MICHAEL CAMPBELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1650 COCHRANE CIR # B7500, FT CARSON, CO 80913-4613
(719) 526-2092
(719) 526-7732
Mailing address
1650 COCHRANE CIR # B7500, FT CARSON, CO 80913-4613
(719) 526-2092
(719) 526-7732

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
32938
NE
208D00000X
General Practice Physician
32938
NE

Other

Enumeration date
02/03/2019
Last updated
06/01/2023
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