Individual
COREY R. CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
7900 W JEFFERSON BLVD STE 201, FORT WAYNE, IN 46804-4128
(260) 969-7216
(260) 969-7230
Mailing address
6920 POINTE INVERNESS WAY STE 200, FORT WAYNE, IN 46804-7934
(260) 479-3514
(260) 479-3520
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10004224A
IN
Other
Enumeration date
07/22/2014
Last updated
07/11/2024
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