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Individual

MELVIN ALLEN CAMPBELL

Active
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Individual

MELVIN ALLEN CAMPBELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD FACP

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
12836
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
02754
BCBS NE
01
080028209
RR MEDICARE PROVIDER
01
12836
NE LICENSE
05
47055072313
NE
05
7702980
SD
Enumeration date
06/22/2006
Last updated
03/07/2023
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