| Doctor Name: | DANE V. CAMPBELL |
| NPI Number: | 1689632010 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 27764 |
| Business Practice Address: | 701 Hospital Loop 92 Medical Group Fairchild Afb, WA - 990118704 |
| Business Phone Number: | 5092473609 |
| Business Fax Number: | |
| Mailing Address: | 701 Hospital Loop, 92 Medical Group FAIRCHILD AFB |
| State: | WA |
| Postal Code: | 990118704 |
| Phone Number: | 5092473609 |
| Fax Number: | |
| NPI Enumeration Date: | 05/03/2006 |
| NPI Last Update Date: | 12/01/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 27764 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |