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Individual

RICHARD M CAMPBELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1801 16TH ST, GREELEY, CO 80631-5154
(970) 378-4529
Mailing address
1550 LARIMER ST, STE 106, DENVER, CO 80202
(307) 532-1804

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22404
CO
207Q00000X
Family Medicine Physician
2890A
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
82874069
CO
Enumeration date
10/16/2006
Last updated
01/12/2018
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