Provider Demographics
NPI:1427329770
Name:CAMPBELL, JOHN DAVID II (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:DAVID
Last Name:CAMPBELL
Suffix:II
Gender:M
Credentials:MD
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Mailing Address - Street 1:4205 PIEDMONT MESA RD
Mailing Address - Street 2:
Mailing Address - City:CLAREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:91711-2353
Mailing Address - Country:US
Mailing Address - Phone:909-596-1353
Mailing Address - Fax:909-596-4983
Practice Address - Street 1:4205 PIEDMONT MESA RD
Practice Address - Street 2:
Practice Address - City:CLAREMONT
Practice Address - State:CA
Practice Address - Zip Code:91711-2353
Practice Address - Country:US
Practice Address - Phone:909-596-1353
Practice Address - Fax:909-596-4983
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-18
Last Update Date:2012-01-18
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Provider Licenses
StateLicense IDTaxonomies
CAGFE5561207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology