Provider Demographics
NPI:1679597405
Name:CAMPBELL, BARBARA B (MD)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:B
Last Name:CAMPBELL
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2500 HOSPITAL DR.
Mailing Address - Street 2:BUILDING 11, SUITE D
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94040-4118
Mailing Address - Country:US
Mailing Address - Phone:650-965-3243
Mailing Address - Fax:650-965-4638
Practice Address - Street 1:2500 HOSPITAL DR.
Practice Address - Street 2:BUILDING 11, SUITE D
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94040-4118
Practice Address - Country:US
Practice Address - Phone:650-965-3243
Practice Address - Fax:650-965-4638
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2012-01-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA40466207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
A29125Medicare UPIN