National Provider Identifier
Shawn Robert Campbell, PA
Shawn Robert Campbell, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Tonawanda, NY and a listed phone number of (716) 332-4476.
Profile Overview
- NPI
- 1174914857
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- February 17, 2015
- Last Updated
- February 17, 2015
Practice Location
- 1491 Sheridan Dr
- Suite 100
- Tonawanda, NY 14217-1234
Phone: (716) 332-4476
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1174914857
- Entity Type
- Individual
- Last Name
- Campbell
- First Name
- Shawn
- Middle Name
- Robert
- Credential
- PA
- Mailing Street Address
- 1491 Sheridan Dr
- Mailing Address Line 2
- Suite 100
- Mailing City
- Tonawanda
- Mailing State
- NY
- Mailing ZIP Code
- 14217-1234
- Mailing Country
- US
- Mailing Phone
- (716) 332-4476
- Mailing Fax
- (716) 332-4479
- Practice Street Address
- 1491 Sheridan Dr
- Practice Address Line 2
- Suite 100
- Practice City
- Tonawanda
- Practice State
- NY
- Practice ZIP Code
- 14217-1234
- Practice Country
- US
- Practice Phone
- (716) 332-4476
- Practice Fax
- (716) 332-4479
- Enumeration Date
- February 17, 2015
- Last Updated
- February 17, 2015
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)