Individual
DR. RICHARD ANTHONY CAMPANA SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
312 2ND ST, WILLIAMSBURG, VA 23185-4528
(757) 229-4141
(757) 229-1792
Mailing address
312 SECOND ST, WILLIAMSBURG, VA 23185-4528
(757) 229-4141
(757) 229-1792
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101035546
VA
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
0101035546
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016670
ANTHEM PROVIDER NUMBER
VA
01
—
0603310001
DMERC GROUP NUMBER
VA
Enumeration date
07/08/2005
Last updated
05/19/2014
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