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Individual

LEOPOLD G CAMPBELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4346 STARKEY RD STE 1, ROANOKE, VA 24018-0605
(540) 772-8043
(540) 772-8242
Mailing address
4730 SUSSEX CT APT G, ROANOKE, VA 24018-2348
(704) 591-2819

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101255209
VA
207RA0401X
Addiction Medicine (Internal Medicine) Physician
0101255209
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1383P
BCBS OF NC
NC
05
5901417
NC
01
8533938
CIGNA
NC
Enumeration date
05/09/2006
Last updated
11/17/2020
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