Mark Doran Campbell in Phoenix - Foot And Ankle Surgery
Mark Doran Campbell - NPI 1619918745
Mark Doran Campbell is a Foot And Ankle Surgery in Phoenix, Arizona. Mark Doran Campbell practices all healthcare services and medical treatments related to Foot And Ankle Surgery. The NPI Number for Mark Doran Campbell is 1619918745. The last update date is 2014-04-22.
Mark Doran Campbell's current location address is 18444 N 25th Ave, Phoenix, Arizona. You can contact this provider via phone number 6235375600 and fax number 8669392673. The mailing address for Mark Doran Campbell is 18444 N 25th Ave, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Doran Campbell |
|---|---|
| Address | 18444 N 25th Ave, Phoenix, Arizona |
| Phone Number | 6235375600 |
| Fax Number | 8669392673 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1619918745 |
|---|---|
| Provider Enumeration Date | 2006-06-09 |
| Last Updated Date | 2014-04-22 |
Provider Mailing Address Detail
| Address | 18444 N 25th Ave |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850231266 |
| Phone Number | 6235375600 |
| Fax Number | 8669392673 |
Provider's Primary Taxonomy Detail
| Speciality | Foot And Ankle Surgery |
|---|---|
| Taxonomy | 207Xx0004X |
| Licence No | 25777 |
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Definition: Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and ch |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5550830003 | AZ | MEDICARE NSC PEORIA | |
| 5550830010 | AZ | MEDICARE NSC GILBERT | |
| 401448 | AZ | -- | |
| 5550830009 | AZ | MEDICARE NSC AZ NORTH | |
| 5550830001 | AZ | MEDICARE NSC SCW | |
| 5550830007 | AZ | MEDICARE NSC DV | |
| P00207821 | AZ | RR MEDICARE |
Post Comment/ Review Below
What is the Mark Doran Campbell's 1619918745?
The Mark Doran Campbell's NPI (National Provider Identifier) Number is 1619918745. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Mark Doran Campbell is geographically located?
The Mark Doran Campbell is physically situated at the following location: 18444 N 25Th Ave, Phoenix, AZ, 850231266.
What is Mark Doran Campbell's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mark Doran Campbell's specialized field of practice is Foot And Ankle Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 207Xx0004X.
On what date did the Mark Doran Campbell receive the assignment of its 1619918745 from the Centers for Medicare & Medicaid Services?
The Mark Doran Campbell was issued its 1619918745 by the Centers for Medicare & Medicaid Services on 2006-06-09.
As of what date was the information regarding Mark Doran Campbell, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mark Doran Campbell, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2014-04-22.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY