Organization
ALTOONA ENDOCRINE SERVICES, L.L.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK CHRISTOPHER CAMPBELL M.D. (DIRECTOR)
(814) 949-2950
Entity
Organization
Contact information
Practice address
615 HOWARD AVE, SUITE 106, ALTOONA, PA 16601-4813
(814) 949-2950
(814) 949-2960
Mailing address
615 HOWARD AVE, SUITE 106, ALTOONA, PA 16601-4813
(814) 949-2950
(814) 949-2960
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
MD419670
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1011489000001
—
PA
01
—
1539532
GATEWAY HEALTHPLAN GROUP#
PA
01
—
V0579B
UPMC GROUP PIN NUMBER
PA
Enumeration date
05/29/2006
Last updated
08/22/2020
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