Individual
BRAD J CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
801 W MAPLE ST, FARMINGTON, NM 87401-5630
(505) 609-2001
(505) 609-2259
Mailing address
PO BOX 6210, FARMINGTON, NM 87499-6210
(505) 609-2258
(505) 609-2259
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
3784
AZ
207P00000X
Emergency Medicine Physician
Primary
A1248-04
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03325377
—
NM
Enumeration date
02/14/2006
Last updated
01/28/2025
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