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Individual

JOHN E CAMPBELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1201 WASHINGTON ST E, CHARLESTON, WV 25301-1834
(304) 347-1296
(304) 347-1394
Mailing address
PO BOX 7000, MORGANTOWN, WV 26507-7000
(304) 293-5033
(304) 293-6963

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
22654
WV
2086S0129X
Vascular Surgery Physician
Primary
22654
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3810012656
WV
Enumeration date
07/28/2008
Last updated
09/20/2008
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