Individual
RAUL CAMPOS III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
712 AVIATION WAY, CALDWELL, ID 83605-1154
(208) 302-7500
(208) 302-7555
Mailing address
PO BOX 190930, BOISE, ID 83719-0930
(208) 367-5170
(208) 367-5180
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3071780
ID
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
02/27/2023
Last updated
10/17/2025
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