NPI 1710399654

Amanda Violet Grippen Goddard, DO

Practitioner Allergy & Immunology Physician Albuquerque, NM

Practice location

Address: 7001 Signal Ave NE, Albuquerque, NM 87113-2453
Phone: (505) 826-2735
Fax: (505) 856-2749
Mailing address: PO Box 603725, Charlotte, NC 28260-3725

Registered specialties

Allergy & Immunology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207K00000X Licence A233920 (NM)

Other Allergy & Immunology providers in New Mexico →

Registry record

NPI: 1710399654
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 May 2014
Record last updated: 30 Oct 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.