Campbell, Mark Doran
Campbell, Mark Doran is an individual health care provider with primary practice located at 14520 W Granite Valley Dr Ste 210, Sun City West AZ 85375-5855. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Foot and Ankle Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Foot and Ankle Surgery is his primary health care specialty. Campbell, Mark Doran can be contacted via phone (623) 537-5600.Contact Information
Primary practice address
14520 W Granite Valley Dr Ste 210
Sun City West AZ 85375-5855
Phone: (623) 537-5600
Fax: (866) 939-2673
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery | 207XS0114X | 25777 | Arizona |
| Allopathic & Osteopathic Physicians / Foot and Ankle Surgery | 207XX0004X | 25777 | Arizona |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 25777 | Arizona |
Profile Details
| NPI number | 1619918745 |
|---|---|
| LBN Legal business name | Campbell, Mark Doran |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2006 |
| Last updated | Feb 28th, 2024 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619918745 | NPPES |
| Arizona | Other | 5550830003 | MEDICARE NSC PEORIA |
| Arizona | Other | 5550830001 | MEDICARE NSC PEORIA |
| Arizona | Other | 5550830010 | MEDICARE NSC PEORIA |
| Arizona | Other | P00207821 | MEDICARE NSC PEORIA |
| Arizona | MEDICAID | 401448 | MEDICARE NSC PEORIA |
| Arizona | Other | 5550830007 | MEDICARE NSC PEORIA |
| Arizona | Other | 5550830009 | MEDICARE NSC PEORIA |
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