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Contact Information

DAVID R CAMPBELL, LISAC
215 S POWER RD
114
MESA, AZ85206-5235
 Phone: 480-981-1022
 Fax: 480-981-1405
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for DAVID R CAMPBELL · (Male)

NPI # 1952424889
Status Active
Credentials LISAC
Entity Individual
Enumeration date 04/07/2007
Last updated 06/25/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # LISAC11711
  • AZ Medicaid 942335
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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