Individual
COLLEEN DUGAN GOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
MSC08 4640 REGINALD HEBER FITZ HL RM 335, 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
(505) 272-4814
(505) 272-8084
Mailing address
MSC08 4640 REGINALD HEBER FITZ HL RM 335, 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
MD2018-0792
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
NM
Other
Enumeration date
05/10/2017
Last updated
09/14/2018
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