Provider Demographics
NPI:1811218100
Name:CAMPO, CHRISTOPHER CARLTON (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:CARLTON
Last Name:CAMPO
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 1:4010 E BELL RD
Mailing Address - Street 2:SUITE # 103
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85032-2229
Mailing Address - Country:US
Mailing Address - Phone:602-595-0015
Mailing Address - Fax:602-595-0091
Practice Address - Street 1:4010 E BELL RD
Practice Address - Street 2:SUITE # 103
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85032-2229
Practice Address - Country:US
Practice Address - Phone:602-595-0015
Practice Address - Fax:602-595-0091
Is Sole Proprietor?:No
Enumeration Date:2010-06-21
Last Update Date:2010-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ8087111N00000X
AZ4742111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NR0400XChiropractic ProvidersChiropractorRehabilitation