Individual
PETER LAWRENCE CAMPBELL
Active
Individual
PETER LAWRENCE CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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