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Individual

DR. RICHARD CAMPBELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
12040 NE 128TH ST, KIRKLAND, WA 98034-3013
(425) 899-1000
Mailing address
FILE 50421, LOS ANGELES, CA 90074-0421
(800) 793-3529

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD00046323
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
212018
WA L&I
01
2162CA
REGENCE BS
05
8458614
WA
01
8942675
WASHINGTON CRIME VICTIMS
01
910861251
PREMERA BLUE CROSS
Enumeration date
06/27/2006
Last updated
01/03/2011
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