Individual provider · Type 1 NPI

Annie Campbell, PA

Surgical Physician Assistant · Boise, ID

NPI number 1154414902 Active

Practice location

333 N 1st St, Suite 120
Boise, ID 83702-6100

Call (208) 381-7190 Map

Fax (208) 381-7191

Mailing address

190 E Bannock St
Boise, ID 83712-6241

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1154414902

Annie Campbell, PA's National Provider Identifier is 1154414902, issued on Oct 2, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Boise, ID. The record was last updated on Sep 27, 2017.