NPI | 1972861011 |
---|---|
Doing Business As | GOSPHA G CAMPBELL MD INC |
Entity Type | Organization |
Authorized Contact | GOSPHA GORDON CAMPBELL CEO 909-890-9393 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: CA FNP 42352) |
Enumeration Date | 2012-04-26 |
Last Update Date | 2012-04-26 |