Organization
CRAIG J CAMPBELL DPM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG CAMPBELL (OWNER)
(801) 969-1434
Entity
Organization
Contact information
Practice address
5255 S 4015 W, #140, SALT LAKE CITY, UT 84129
(801) 969-1434
Mailing address
5255 S 4015 W, #140, SALT LAKE CITY, UT 84129
(801) 969-1434
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
528743385025
—
UT
Enumeration date
03/21/2019
Last updated
10/09/2020
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