Individual
SHELLEY CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
14045 N 7TH ST STE 3, PHOENIX, AZ 85022-4387
(602) 795-5505
Mailing address
14045 N 7TH ST STE 3, PHOENIX, AZ 85022-4387
(602) 795-5505
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
8119
AZ
363A00000X
Physician Assistant
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/01/2019
Last updated
10/11/2023
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