Provider Demographics
NPI:1689846511
Name:CAMPBELL, NATALEE SIMONE (MD)
Entity type:Individual
Prefix:DR
First Name:NATALEE
Middle Name:SIMONE
Last Name:CAMPBELL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:6760 E ARROYO CT STE 101
Mailing Address - Street 2:
Mailing Address - City:PARADISE VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85253-4425
Mailing Address - Country:US
Mailing Address - Phone:347-724-2412
Mailing Address - Fax:
Practice Address - Street 1:13400 E SHEA BLVD
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85259-5499
Practice Address - Country:US
Practice Address - Phone:480-301-8000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-01
Last Update Date:2024-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT046272207RG0100X
AZ52171207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
P3926730OtherOXFORD HEALTH PLANS
046272OtherCONNECTICARE, INC
3V3333OtherHEALTHNET NORTHEAST
9022146OtherAETNA
CT010046272CT01OtherANTHEM BLUE CROSS AND BLUE SHIELD OF CT
P00647226OtherMEDICARE RAILROAD
3V3333OtherHEALTHNET NORTHEAST