Individual
DR. ANNA C. DEOCAMPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
20906
SC
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
35604
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209063
—
SC
01
—
57-6007863037
BLUE CHOICE OF SC
SC
01
—
57-6007863094
BCBS OF SC
SC
01
—
7481470
CIGNA
SC
Enumeration date
05/25/2006
Last updated
09/14/2009
Update your record
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