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1306865464
DEREK R CAMPBELL
IDAHO FALLS, ID
NPI
1306865464
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: ID O-344)
Enumeration Date
2006-07-19
Last Update Date
2010-01-25
Business Address
-- DEREK R CAMPBELL D.O.
765 S UTAH AVE
IDAHO FALLS, ID 83402-5093
Phone number: 208-525-2600
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Mailing Address
-- DEREK R CAMPBELL D.O.
765 S UTAH AVE
IDAHO FALLS, ID 83402-5093
Phone number: 208-525-2600
Copy
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