Individual
DR. DAVID R CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LISAC
Contact information
Practice address
215 S POWER RD, 114, MESA, AZ 85206-5235
(480) 981-1022
(480) 981-1405
Mailing address
215 S POWER RD, 114, MESA, AZ 85206-5235
(480) 981-1022
(480) 981-1405
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LISAC11711
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
942335
—
AZ
Enumeration date
04/07/2007
Last updated
06/25/2010
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