Individual
JOSHUA CLARK CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3580 JOSEPH SIEWICK DR STE 105, FAIRFAX, VA 22033-1764
(703) 970-6464
(703) 970-6565
Mailing address
PO BOX 37174, BALTIMORE, MD 21297-3174
(571) 423-5699
(571) 423-5698
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
0101275083
VA
207X00000X
Orthopaedic Surgery Physician
A130780
CA
207X00000X
Orthopaedic Surgery Physician
D83628
MD
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
MD047881
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A130780
CALIFORNIA MEDICAL LICENSE
CA
01
—
D83628
MARYLAND MEDICAL LICENSE
MD
01
—
MD047881
DC MEDICAL LICENSE
DC
Enumeration date
06/23/2014
Last updated
08/10/2022
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