Provider Demographics
NPI:1720183882
Name:CAMPBELL, DAVID ANDREW (DC)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:ANDREW
Last Name:CAMPBELL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7520 S RURAL RD
Mailing Address - Street 2:STE A10
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85283-4656
Mailing Address - Country:US
Mailing Address - Phone:480-831-2870
Mailing Address - Fax:480-831-2872
Practice Address - Street 1:7420 S RURAL RD
Practice Address - Street 2:SUITE B6
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85283-4655
Practice Address - Country:US
Practice Address - Phone:480-831-2870
Practice Address - Fax:480-831-2872
Is Sole Proprietor?:No
Enumeration Date:2006-09-13
Last Update Date:2017-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAZ 5847111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZAZ0247230OtherBC/BS
AZAZ0247230OtherBC/BS
AZ29145Medicare ID - Type UnspecifiedMEDICARE