Individual
TOM G CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2130 E MAIN ST, MONTROSE, CO 81401-3834
(970) 252-3200
(970) 252-3208
Mailing address
PO BOX 1208, MONTROSE, CO 81402-1208
(970) 252-3200
(970) 252-3208
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
30613
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
84-0561224
TAX ID
CO
Enumeration date
06/15/2006
Last updated
08/28/2012
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