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Individual

MR. BRIAN DAVID CAMPBELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
USN-IDC

Contact information

Practice address
7400 SEWELLS POINT RD, NORFOLK, VA 23513-1756
(757) 853-0695
Mailing address
3035C JOHN HANCOCK CT, JACKSONVILLE, FL 32221-2405
(904) 542-3500

Taxonomy

Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary

Other

Enumeration date
03/28/2006
Last updated
11/30/2009
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