Annie Campbell, PA
Physician Assistant, Surgical in Boise, ID. Individual provider (NPI-1).
NPI number1154414902
StatusActive
Last updated in NPPESSep 27, 2017
Details
- NPI
- 1154414902
- Entity type
- Individual (NPI-1)
- Name
- Annie Campbell
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 2, 2006
- Last updated
- Sep 27, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | – | – | Yes |
| 363A00000X | Physician Assistant | – | – |
Practice location
333 N 1st StSuite 120
Boise, ID 83702-6100
Phone 208-381-7190 · Fax 208-381-7191
Mailing address
190 E Bannock StBoise, ID 83712-6241
Phone 208-381-7190 · Fax 208-381-7191
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