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John R Campbell, MD
Specialist in San Rafael, California
NPI 1619970928

John R Campbell is a Specialist based in San Rafael, CA. John R Campbell practices in San Rafael, CA and has the professional credentials of MD. The NPI Number for John R Campbell is 1619970928 and holds a License No. G031914 (California).

The current practice location address for John R Campbell is 901 E St, San Rafael, CA and can be reached out via phone at 415-454-5565 and via fax at 415-454-2957.

Location: 901 E St, San Rafael, CA, 94901-2850
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619970928
Provider Name
John R Campbell
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
901 E St, San Rafael, CA, 94901-2850
Phone Number
415-454-5565
Fax Number
415-454-2957
Provider Enumeration Date
05/31/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GR0015750 05 CA
institution
Provider Business Practice Location Address Details
Address
901 E St
City
San Rafael
State
California
Zip
94901-2850
Phone Number
415-454-5565
Fax Number
415-454-2957
person
Provider Business Mailing Address Details
Address
901 E St
City
San Rafael
State
California
Zip
94901-2850
Phone Number
415-454-5565
Fax Number
415-454-2957
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
G031914 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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