Doctor Name: | DR. DWIN E CAMPBELL |
NPI Number: | 1053305383 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.O. |
License Number: | OS-009630-L |
Business Practice Address: | 221 Idetown Rd Dallas, PA - 186121136 |
Business Phone Number: | 5706742998 |
Business Fax Number: | 5706392559 |
Mailing Address: | 221 Idetown Rd, DALLAS |
State: | PA |
Postal Code: | 186121136 |
Phone Number: | 5706742998 |
Fax Number: | 5706392559 |
NPI Enumeration Date: | 09/01/2005 |
NPI Last Update Date: | 04/28/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | OS-009630-L |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |