Doctor Name: | MR. WALTER PHILIP CAMPBELL |
NPI Number: | 1922187285 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 1360 |
Business Practice Address: | 2692 N University Dr Suite 10 Sunrise, FL - 333222496 |
Business Phone Number: | 9547494420 |
Business Fax Number: | |
Mailing Address: | 4631 Nw 93rd Ave, SUNRISE |
State: | FL |
Postal Code: | 333515239 |
Phone Number: | 9542420465 |
Fax Number: | |
NPI Enumeration Date: | 11/06/2006 |
NPI Last Update Date: | 11/02/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 1360 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |