Doctor Name: | GRIFFON CAMPBELL |
NPI Number: | 1013912773 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | R13894 |
Business Practice Address: | 211 Sudderth Dr Ruidoso, NM - 883456002 |
Business Phone Number: | 5759999999 |
Business Fax Number: | |
Mailing Address: | Po Box 2795, SILVER CITY |
State: | NM |
Postal Code: | 880622795 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/17/2005 |
NPI Last Update Date: | 04/28/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | R13894 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |