Individual
THOMAS CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
630 MEDICAL DR, BOUNTIFUL, UT 84010-4908
(801) 299-3781
(801) 299-2416
Mailing address
PO BOX 742353, ATLANTA, GA 30374-2353
(801) 771-7717
(866) 506-1474
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
12371627-1205
UT
2084P0800X
Psychiatry Physician
2018-02628
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174868525
—
UT
Enumeration date
04/19/2017
Last updated
09/28/2021
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