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Leonie Campbell, MD
Military Health Care Provider in San Diego, California
NPI 1134754096

Leonie Campbell is a Military Health Care Provider based in San Diego, CA. Leonie Campbell practices in San Diego, CA and has the professional credentials of MD. The NPI Number for Leonie Campbell is 1134754096 and holds a License No. M-16050 (California).

The current practice location address for Leonie Campbell is 34800 Bob Wilson Dr, San Diego, CA and can be reached out via phone at 619-532-6400.

Location: 34800 Bob Wilson Dr, San Diego, CA, 92130-2672
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134754096
Provider Name
Leonie Campbell
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
34800 Bob Wilson Dr, San Diego, CA, 92130-2672
Phone Number
619-532-6400
Fax Number
Provider Enumeration Date
03/11/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
M-16050 01 ID IDAHO MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
34800 Bob Wilson Dr
City
San Diego
State
California
Zip
92134-1098
Phone Number
619-532-6400
Fax Number
person
Provider Business Mailing Address Details
Address
34800 Bob Wilson Dr
City
San Diego
State
California
Zip
92134-1098
Phone Number
619-532-6400
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
M-16050 (Idaho)
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
M-16050 (Idaho)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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