Provider Demographics
NPI:1740286996
Name:CAMPBELL, JAMES ANTHONY (MD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:ANTHONY
Last Name:CAMPBELL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:13772 DENVER WEST PKWY
Mailing Address - Street 2:STE 250
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80401-3196
Mailing Address - Country:US
Mailing Address - Phone:303-216-0333
Mailing Address - Fax:303-216-1511
Practice Address - Street 1:13772 DENVER WEST PKWY
Practice Address - Street 2:STE 250
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80401-3196
Practice Address - Country:US
Practice Address - Phone:303-216-0333
Practice Address - Fax:303-216-1511
Is Sole Proprietor?:No
Enumeration Date:2005-06-22
Last Update Date:2007-10-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO41405208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO32525532Medicaid