Individual
JAMES CAMPIONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
16941 N EAGLE RIVER LOOP RD, EAGLE RIVER, AK 99577-7824
(907) 382-7041
Mailing address
16941 N. EAGLE RIVER LOOP RD EAGLE RIVER, EAGLE RIVER, AK 99577
(907) 726-5330
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00003173
TRICARE
AK
Enumeration date
12/05/2017
Last updated
04/30/2018
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