Individual
PETER LAWRENCE CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12721 DARBY BROOK CT, WOODBRIDGE, VA 22192-2408
(703) 492-9961
(703) 497-1225
Mailing address
PO BOX 2668, SPRINGFIELD, VA 22152-0668
(703) 492-9961
(703) 497-1225
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101029943
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000285424
ANTHEM BCBS
VA
05
—
007103921
—
VA
05
—
010145040
—
VA
01
—
016501T24
RR MEDICARE X
DC
01
—
1533
CAREFIRST BCBS/GHMSI
VA
01
—
15330001
MAGELLAN
VA
01
—
175105
BCBS VA
VA
01
—
2540172
AETNA
VA
01
—
521463549002
TRICARE
VA
01
—
60484701
BCBS MD
MD
01
—
915610
MDIPA/MAMSI
VA
01
—
G3960041
BCBS DC
DC
Enumeration date
08/11/2006
Last updated
05/01/2008
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