Provider Demographics
NPI:1790881191
Name:OCAMPO, VICTORIA GUARDIAN (MD)
Entity Type:Individual
Prefix:DR
First Name:VICTORIA
Middle Name:GUARDIAN
Last Name:OCAMPO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:61 STANFIELD RD
Mailing Address - Street 2:VICTORIA G OCAMPO MD
Mailing Address - City:TROY
Mailing Address - State:OH
Mailing Address - Zip Code:45373-2307
Mailing Address - Country:US
Mailing Address - Phone:937-339-2608
Mailing Address - Fax:937-339-7611
Practice Address - Street 1:61 STANFIELD RD
Practice Address - Street 2:GYNE ASSOCIATES INC
Practice Address - City:TROY
Practice Address - State:OH
Practice Address - Zip Code:45373-2307
Practice Address - Country:US
Practice Address - Phone:937-339-2608
Practice Address - Fax:937-339-7611
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH35036759207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH04652689Medicaid
OHOC0407541Medicare ID - Type Unspecified
A75131Medicare UPIN