Organization
MATTHEW P CAMPBELL MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW PETER CAMPBELL M.D. (OWNER)
(559) 625-4118
Entity
Organization
Contact information
Practice address
116 N AKERS ST, VISALIA, CA 93291-5121
(559) 625-4118
(559) 625-6004
Mailing address
116 N AKERS ST, VISALIA, CA 93291-5121
(559) 625-4118
(559) 625-6004
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
A72234
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A722340
BLUE SHIELD OF CALIFIRNIA
CA
05
—
00A722340
—
CA
01
—
P00228921
RAILROAD MEDICARE
CA
Enumeration date
05/09/2007
Last updated
08/22/2020
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