Individual
MR. JOSEPH LEWIS CAMPANELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2510 AIRPARK DR STE 301, REDDING, CA 96001-2462
(530) 242-3500
Mailing address
3400 DATA DR, ATTN: CREDENTIALING/PAYER ENROLLMENT, RANCHO CORDOVA, CA 95670-7956
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
45680
MN
207Y00000X
Otolaryngology Physician
Primary
G79290
CA
207YS0123X
Facial Plastic Surgery Physician
45680
MN
208600000X
Surgery Physician
45860
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
747608600
—
MN
Enumeration date
06/22/2006
Last updated
05/13/2019
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