Provider Demographics
NPI:1205458973
Name:DYNAMIC MEDICAL HEALTH AND EDUCATION
Entity type:Organization
Organization Name:DYNAMIC MEDICAL HEALTH AND EDUCATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:HIGHLAND
Authorized Official - Middle Name:R
Authorized Official - Last Name:CAMPBELL
Authorized Official - Suffix:II
Authorized Official - Credentials:MD
Authorized Official - Phone:484-803-3601
Mailing Address - Street 1:PO BOX 273
Mailing Address - Street 2:
Mailing Address - City:SPRING CITY
Mailing Address - State:PA
Mailing Address - Zip Code:19475-0273
Mailing Address - Country:US
Mailing Address - Phone:484-803-3601
Mailing Address - Fax:
Practice Address - Street 1:1012 W 9TH AVE STE 115
Practice Address - Street 2:
Practice Address - City:KING OF PRUSSIA
Practice Address - State:PA
Practice Address - Zip Code:19406-1093
Practice Address - Country:US
Practice Address - Phone:484-803-3601
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DYNAMIC MEDICAL HEALTH AND EDUCATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-05-15
Last Update Date:2020-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service