Campbell, Gospha Gordon

Campbell, Gospha Gordon is an sole proprietor health care provider with primary practice located at 1850 S Waterman Ave, # F , San Bernardino CA 92408. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Campbell, Gospha Gordon can be contacted via phone (909) 890-9393.

Contact Information

Primary practice address
1850 S Waterman Ave, # F San Bernardino CA 92408
Phone: (909) 890-9393
Fax: (909) 890-9394
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 102029 California
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 16775 Puerto Rico

Profile Details

NPI number 1306012935
LBN Legal business name Campbell, Gospha Gordon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 4th, 2008
Last updated Feb 15th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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