CJ Campbell LLC
Organization Active NPI Medical Physician Assistant · Globe, AZ
NPI 1770802191 · NPPES record last updated May 25, 2010
Key facts
- NPI
- 1770802191
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 1979 (AZ)
- Legal business name
- CJ CAMPBELL LLC
- Practice address
- 1100 N Broad St
Globe, AZ 85501-2757 - Phone
- (480) 705-7300
- Fax
- (480) 705-7301
- NPI assigned
- May 25, 2010
- Organization subpart
- No
Authorized official
- Name
- Chad Campbell, PA
- Title
- Provider
- Phone
- (480) 705-7300
Practitioners 1
-
Chad Michael Campbell, PA-C
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant |
363AM0700X | 1979 | AZ | Yes |
Addresses
Primary practice location
1100 N Broad St
Globe, AZ 85501-2757
Mailing address
1100 N Broad St
Globe, AZ 85501-2757
Phone (480) 705-7300
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 448739 | Medicaid | AZ |
Other providers in Globe, AZ
- Care for Kids of Arizona, LLC
- Sherida Carlson
- Tanner Bo Carlson
- Brent Carpeso
- City of Globe Fire Department
- Janet M Cline
- Cobre Valley Community Hospital
- Cobre Valley Community Hospital
- Cobre Valley Emergency Services, LLC
- Cobre Valley Heart Institute PLLC
All providers in Globe, AZ · Medical Physician Assistant in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 25, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.