Individual
GABRIELLA IMOGEN GOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1101 MEDICAL ARTS AVE NE, BUILDING 4, STE A, ALBUQUERQUE, NM 87102-2706
(505) 272-1754
(505) 925-4594
Mailing address
933 BRADBURY DR SE, SUITE 2222, ALBUQUERQUE, NM 87106-4374
(505) 272-3120
(505) 272-8060
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD2007-0033
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10036394
LOVELACE
—
01
—
202025728
PRESBYTERIAN HEALTH PLANS
—
01
—
2847507
UHC
—
01
—
NM001C41
BCBS NM
NM
Enumeration date
01/29/2007
Last updated
02/23/2017
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