Individual
DR. J WILLIAM CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
222 S WOODS MILL RD, SUITE 750, CHESTERFIELD, MO 63017-3625
(314) 205-6600
(314) 205-6172
Mailing address
222 S WOODS MILL RD, SUITE 750, CHESTERFIELD, MO 63017-3625
(314) 205-6600
(314) 205-6172
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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