Individual provider · Type 1 NPI
Andre Bruce Campbell, PA
Medical Physician Assistant · Washington, DC
NPI number
1013968437
Active
Practice location
1310 Southern Ave SE
Washington, DC 20032-4699
Mailing address
1200 Maryland Ave NE
Washington, DC 20002-5336
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | PA30030 (DC) |
| Medical Physician Assistant Primary | 363AM0700X | None listed |
Medical Physician Assistant: Definition to come...
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About NPI 1013968437
Andre Bruce Campbell, PA's National Provider Identifier is 1013968437, issued on May 12, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Washington, DC. The record was last updated on Mar 24, 2022.