Provider Demographics
NPI:1841371432
Name:MACARTHUR, CAMPBELL W J (MD FRCS(C))
Entity type:Individual
Prefix:DR
First Name:CAMPBELL
Middle Name:W J
Last Name:MACARTHUR
Suffix:
Gender:M
Credentials:MD FRCS(C)
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1070
Mailing Address - Street 2:
Mailing Address - City:GLOUCESTER
Mailing Address - State:VA
Mailing Address - Zip Code:23061-1070
Mailing Address - Country:US
Mailing Address - Phone:804-693-0330
Mailing Address - Fax:804-693-4059
Practice Address - Street 1:7570 HOSPITAL DRIVE
Practice Address - Street 2:SUITE 105
Practice Address - City:GLOUCESTER
Practice Address - State:VA
Practice Address - Zip Code:23061
Practice Address - Country:US
Practice Address - Phone:804-693-0330
Practice Address - Fax:804-693-4059
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2007-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101050644207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA330123OtherHEALTHKEEPERS
VA6501052OtherVIRGINIA PREMIER
VA2127626OtherALLIANCE
2127626OtherGEHA
97155OtherSENTARA
2127626OtherMAMSI
2127626OtherMDIPA
97155OtherOPTIMA
VA330123OtherANTHEM
VA330123OtherHEALTHKEEPERS