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Individual

DR. JOHN D CAMPBELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1450 ELLIS ST STE 201, BOZEMAN, MT 59715-8813
(406) 587-0122
(406) 587-5548
Mailing address
1450 ELLIS ST STE 201, BOZEMAN, MT 59715-8813
(406) 587-0122
(406) 587-5548

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
6828
MT
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
6828
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
22126
MT
Enumeration date
10/31/2005
Last updated
06/22/2011
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