Individual
JOSHUA MICHAEL CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1500 N RITTER AVE, INDIANAPOLIS, IN 46219-3027
(317) 355-5457
Mailing address
3901 S 7TH ST, TERRE HAUTE, IN 47802-5709
(812) 237-1622
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
36001249A
IN
363A00000X
Physician Assistant
Primary
10000825A
IN
Other
Enumeration date
02/22/2006
Last updated
06/25/2021
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