Organization
GRASS VALLEY HEMATOLOGY/ONCOLOGY MED GRP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID LAWRENCE CAMPBELL M.D. (PARTNER)
(530) 274-6677
Entity
Organization
Contact information
Practice address
155 GLASSON WAY, SUITE L10, GRASS VALLEY, CA 95945-5723
(530) 274-6677
(530) 274-6678
Mailing address
PO BOX 1549, GRASS VALLEY, CA 95945-1549
(530) 274-6677
(530) 274-6678
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1518959188
INDIVIDUAL MD NPI# WILLIAM A NEWSOM JR
—
01
—
1750373239
INDIVIDUAL MD NPI# - DAVID CAMPBELL
—
01
—
DF1247
RAILROAD MEDICARE PTAN FOR COMPANY CURRENT AS OF 08/2010
—
05
—
GR0061600
—
CA
01
—
P00314945
RAILROAD MEDICARE PTAN - WILLIAM A NEWSON, JR, MD
CA
01
—
P00340104
RAILROAD MEDICARE PTAN - DAVID L CAMPBELL, MD
CA
01
—
ZZZ70159Z
PREVIOUS MEDICARE PTAN
—
Enumeration date
05/27/2006
Last updated
08/26/2010
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