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Amanda Violet Grippen Goddard, DO
Allergy & Immunology Physician in Albuquerque, New Mexico
NPI 1710399654

Amanda Violet Grippen Goddard is an Allergy & Immunology Physician based in Charlotte, NM. Amanda Violet Grippen Goddard practices in Albuquerque, NM and has the professional credentials of DO. The NPI Number for Amanda Violet Grippen Goddard is 1710399654 and holds a License No. A233920 (New Mexico).

The current practice location address for Amanda Violet Grippen Goddard is 7001 Signal Ave Ne, Albuquerque, NM and can be reached out via phone at 505-826-2735 and via fax at 505-856-2749. You can also correspond with Amanda Violet Grippen Goddard through the mailing address at PO BOX 603725, CHARLOTTE, NC - 28260-3725 (mailing address contact number: 828-575-2625).

Location: 7001 Signal Ave Ne, Albuquerque, NM, 28260-3725
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Provider Profile Details
NPI Number
1710399654
Provider Name
Amanda Violet Grippen Goddard
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
7001 Signal Ave Ne, Albuquerque, NM, 28260-3725
Phone Number
505-826-2735
Fax Number
505-856-2749
Provider Enumeration Date
05/27/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1D3719 01 NM MEDICARE PTAN
38337207 05 NM
1D3721 01 NM MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
7001 Signal Ave Ne
City
State
Zip
87113-2453
Phone Number
505-826-2735
Fax Number
505-856-2749
person
Provider Business Mailing Address Details
Address
7001 Signal Ave Ne
City
State
Zip
87113-2453
Phone Number
505-826-2735
Fax Number
505-856-2749
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Allergy & Immunology
Speciality
-
Taxonomy
License No.
A233920 (New Mexico)
Definition
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.
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