Individual
JASON F CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
165 POPLAR ST, SUITE 2, MILLINOCKET, ME 04462-1235
(207) 723-3003
(207) 723-3006
Mailing address
165 POPLAR ST, SUITE 2, MILLINOCKET, ME 04462-1235
(207) 723-3003
(207) 723-3006
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
12906
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001022
ANTHEM
ME
05
—
121510099
—
ME
01
—
5153206
AETNA
ME
01
—
MN4020
HARVARD PILGRIM
ME
Enumeration date
09/15/2006
Last updated
06/27/2008
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