Individual
BONNIE S CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
33 W RAHN RD STE 102, DAYTON, OH 45429-2219
(937) 433-8990
Mailing address
2218 TAMPICO TRL, BELLBROOK, OH 45305-1465
(937) 732-4874
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
50.005739RX
OH
363AM0700X
Medical Physician Assistant
Primary
50.005739RX
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0327535
—
OH
Enumeration date
10/11/2018
Last updated
02/21/2019
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