Individual
DAVID L CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
155 GLASSON WAY STE L10, GRASS VALLEY, CA 95945-5723
(530) 274-6677
(530) 274-6678
Mailing address
3400 DATA DR, ATTN CREDENTIALING/PAYER ENROLLMENT, RANCHO CORDOVA, CA 95670-7956
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
G64781
CA
Other
Enumeration date
08/19/2005
Last updated
10/03/2019
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