Individual
HEIDI A CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
268 MAIN ST, EAST AURORA, NY 14052-1655
(716) 652-8606
(716) 805-1225
Mailing address
20 LOSSON RD, STE 105, CHEEKTOWAGA, NY 14227-2379
(716) 558-7727
(716) 558-7720
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
006071
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01798801
—
NY
Enumeration date
01/26/2006
Last updated
01/26/2017
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