Individual
BRIAN TAYLOR CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COA
Contact information
Practice address
320 E BONITA AVE, POMONA, CA 91767-1926
(909) 621-1180
(909) 625-7535
Mailing address
320 E BONITA AVE, POMONA, CA 91767-1926
(909) 621-1180
(909) 625-7535
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
COA00174
CA
Other
Enumeration date
08/04/2011
Last updated
08/04/2011
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