Individual
DR. SAMUEL JACOB CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10710 MIDLOTHIAN TPKE, SUITE 200, RICHMOND, VA 23235-4722
(804) 897-2100
Mailing address
4308 CUTSHAW AVE, RICHMOND, VA 23230-3841
(804) 359-0487
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0101247710
VA
390200000X
Student in an Organized Health Care Education/Training Program
0116018201
VA
Other
Enumeration date
05/17/2007
Last updated
04/10/2015
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