Individual
TRAVIS REX CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
10930 N TATUM BLVD, 103, PHOENIX, AZ 85028-6069
(602) 489-5265
(602) 212-0365
Mailing address
17765 W VENTURA ST, SURPRISE, AZ 85388-7603
(602) 489-5265
(602) 212-0365
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
3505
AZ
Other
Enumeration date
10/04/2006
Last updated
04/24/2012
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