Individual
DR. J WILLIAM CAMPBELL
Active
Individual
DR. J WILLIAM CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R9911
MO
207RI0200X
Infectious Disease Physician
Primary
R9911
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201604717
—
MO
01
—
841682728
TAX ID
—
01
—
P00246310
RR MEDICARE
—
Enumeration date
08/21/2006
Last updated
04/09/2018
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