Individual
DR. GREGG SCOTT CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3850 CALIFORNIA ST, SAN FRANCISCO, CA 94118-1502
(415) 750-6052
(415) 750-1329
Mailing address
328 LINA AVE, ALAMEDA, CA 94501-5467
(785) 375-6931
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0425891
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100178730A
—
KS
01
—
100525
BCBS
KS
Enumeration date
09/29/2006
Last updated
01/11/2012
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