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Individual

DR. JEFFREY E. GODWIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1100 CENTRAL AVE SE, ALBUQUERQUE, NM 87106-4930
(505) 843-1234
Mailing address
1100 CENTRAL AVE SE, ALBUQUERQUE, NM 87106-4930
(505) 724-1235

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
MD2009-0045
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0647812
OH
05
1184705720
NM
Enumeration date
01/19/2006
Last updated
03/17/2018
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