Organization
GODDARD ANESTHESIA SERVICES PA
Active
Organization
GODDARD ANESTHESIA SERVICES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA D GODDARD CRNA (PRESIDENT)
(704) 996-6449
Entity
Organization
Contact information
Practice address
4500 E 9TH AVE STE 700, DENVER, CO 80220-3926
(303) 399-3315
(952) 442-3620
Mailing address
400 10TH ST E, WACONIA, MN 55387-4552
(952) 442-9770
(952) 442-3620
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
06/14/2024
Last updated
06/14/2024
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