Individual
MR. BARRY L. CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
180 ACADEMY ST STE 5, PRESQUE ISLE, ME 04769-3183
(207) 764-7200
(207) 764-7204
Mailing address
140 ACADEMY ST, PRESQUE ISLE, ME 04769-3102
(207) 764-3142
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-077
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730386715
—
ME
Enumeration date
07/02/2007
Last updated
03/17/2018
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