Individual
MR. DWIGHT ADONIS CAMPBELL SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CFSA
Contact information
Practice address
12272 JASPER ST, COMMERCE CITY, CO 80603-7006
(720) 939-4670
Mailing address
12272 JASPER ST, COMMERCE CITY, CO 80603-7006
(720) 939-4670
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
SA.0001002
CO
Other
Enumeration date
04/06/2007
Last updated
06/28/2019
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