Individual
ROBERT E CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
25 MONUMENT RD STE 290, YORK, PA 17403-5073
(717) 812-4090
(717) 812-4092
Mailing address
3421 CONCORD RD, STE B3, YORK, PA 17402-9001
(717) 812-4090
(717) 741-3551
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
C0002262
MD
363AM0700X
Medical Physician Assistant
Primary
MA055411
PA
363AS0400X
Surgical Physician Assistant
C0002262
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1607986
GATEWAY MEDICARE ASSURED
PA
01
—
2698490
HIGHMARK BLUE SHIELD - FREEDOM BLUE
PA
Enumeration date
06/27/2006
Last updated
05/06/2019
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