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Johnny Campbell JR.
Family Medicine Physician in Cannon Afb, New Mexico
NPI 1811458896

Johnny Campbell JR. is a Family Medicine Physician based in Cannon Afb, NM. Johnny Campbell JR. practices in Cannon Afb, NM. The NPI Number for Johnny Campbell JR. is 1811458896 and holds a License No. (New Mexico).

The current practice location address for Johnny Campbell JR. is 224 W D. L. Ingram Avenue, Bldg. 1408, Cannon Afb, NM and can be reached out via phone at 575-904-3848.

Location: 224 W D. L. Ingram Avenue, Bldg. 1408, Cannon Afb, NM, 88103-3634
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811458896
Provider Name
Johnny Campbell JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
224 W D. L. Ingram Avenue, Bldg. 1408, Cannon Afb, NM, 88103-3634
Phone Number
575-904-3848
Fax Number
Provider Enumeration Date
03/30/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
224 W D. L. Ingram Avenue, Bldg. 1408
City
Cannon Afb
State
New Mexico
Zip
88103
Phone Number
575-904-3848
Fax Number
person
Provider Business Mailing Address Details
Address
224 W D. L. Ingram Avenue, Bldg. 1408
City
Cannon Afb
State
New Mexico
Zip
88103
Phone Number
575-904-3848
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
329391 (Louisiana)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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