Individual
JOHN ROBERT CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
2880 FOLSOM ST, SUITE 100, BOULDER, CO 80304-3739
(303) 327-7047
(303) 443-7168
Mailing address
2880 FOLSOM ST, SUITE 100, BOULDER, CO 80304-3739
(303) 237-7047
(303) 443-7168
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1215
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
52004082
—
CO
01
—
P00377349
RAILROAD MEDICARE
CO
Enumeration date
09/06/2006
Last updated
03/07/2023
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