| NPI | 1538544242 |
|---|---|
| Former Name | PAIGE M CAMPBELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110005028) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: VA 0110005028) |
| 363AM0700X Physician Assistant, Medical (Licence: VA 0110005028) | |
| Enumeration Date | 2015-07-23 |
| Last Update Date | 2020-09-12 |