Provider Demographics
NPI:1093919474
Name:CAMPBELL, MICHAEL J (MD)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:J
Last Name:CAMPBELL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:UC DAVIS CANCER CENTER
Mailing Address - Street 2:4501 X STREET, SUITE 3010
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95817-2229
Mailing Address - Country:US
Mailing Address - Phone:916-734-5907
Mailing Address - Fax:916-703-5267
Practice Address - Street 1:UC DAVIS CANCER CENTER
Practice Address - Street 2:4501 X STREET, SUITE 3010
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95817-2229
Practice Address - Country:US
Practice Address - Phone:916-734-5907
Practice Address - Fax:916-703-5267
Is Sole Proprietor?:No
Enumeration Date:2007-06-12
Last Update Date:2019-10-31
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA120126208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery