Provider Demographics
NPI:1750454716
Name:CAMPBELL, DEBRA L (DO)
Entity type:Individual
Prefix:MS
First Name:DEBRA
Middle Name:L
Last Name:CAMPBELL
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Gender:F
Credentials:DO
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Mailing Address - Street 1:1606 PRAIRIE CENTER PKWY
Mailing Address - Street 2:300
Mailing Address - City:BRIGHTON
Mailing Address - State:CO
Mailing Address - Zip Code:80601-4004
Mailing Address - Country:US
Mailing Address - Phone:303-655-1685
Mailing Address - Fax:303-655-1703
Practice Address - Street 1:1606 PRAIRIE CENTER PKWY
Practice Address - Street 2:300
Practice Address - City:BRIGHTON
Practice Address - State:CO
Practice Address - Zip Code:80601-4004
Practice Address - Country:US
Practice Address - Phone:303-655-1685
Practice Address - Fax:303-655-1703
Is Sole Proprietor?:No
Enumeration Date:2006-11-16
Last Update Date:2016-04-26
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Provider Licenses
StateLicense IDTaxonomies
CO42864208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO69581011Medicaid