Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Grant McKenzie Campbell, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1861074510

Grant McKenzie Campbell, MD is a Student in an Organized Health Care Education/Training Program in Roseville, California. Practices as a sole proprietor. Licensed in California and Florida.

Licensed in
CA, FL
In the registry since
2021
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

10004 Foothills Blvd
Roseville, CA 95747-7102
Phone: (916) 435-2700
Fax: (916) 435-2701
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence A193270 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (FL)

Record details

NPI number1861074510
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 22, 2021
Last updated in NPPESJune 19, 2024
Certification dateJune 19, 2024

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