Individual
MR. HENRY GRADY CAMPBELL JR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.N. C.
Contact information
Practice address
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108-5153
(800) 465-8262
Mailing address
864 RIMROCK DR, GALLUP, NM 87301-7347
(505) 863-5071
(505) 722-0723
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
12898
AK
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
R 0024189
OK
Other
Enumeration date
08/30/2006
Last updated
09/11/2025
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