Provider Demographics
NPI:1568606804
Name:COMPTON, BILL CAMPBELL (MD)
Entity Type:Individual
Prefix:DR
First Name:BILL
Middle Name:CAMPBELL
Last Name:COMPTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:BILL
Other - Middle Name:CAMPBELL
Other - Last Name:COMPTON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:17112 LAOANA DR
Mailing Address - Street 2:
Mailing Address - City:EAGLE RIVER
Mailing Address - State:AK
Mailing Address - Zip Code:99577-8505
Mailing Address - Country:US
Mailing Address - Phone:907-694-5824
Mailing Address - Fax:
Practice Address - Street 1:17112 LAOANA DR
Practice Address - Street 2:
Practice Address - City:EAGLE RIVER
Practice Address - State:AK
Practice Address - Zip Code:99577-8505
Practice Address - Country:US
Practice Address - Phone:907-694-5824
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-30
Last Update Date:2009-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK769207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology