Individual
WILLIAM G CAMPBELL
Active
Individual
WILLIAM G CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA100002312
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039625
LABOR AND INDUSTRIES #
WA
05
—
8347239
—
WA
01
—
970003575
RAILROAD MC#
WA
01
—
CA9722
BLUE SHIELD#
WA
01
—
US0863368
AETNA SPECIALIST PIN
WA
Enumeration date
02/02/2007
Last updated
07/26/2010
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