Individual
DR. VIVIAN AYOZIEUWA GODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
US HWY 160 & NAVAJO ROUTE 35 - RED MESA, TEECNOSPOS, AZ 86514
(928) 656-5000
Mailing address
HC 61 BOX 30, TEEC NOS POS, AZ 86514-9600
(928) 656-5000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
N0327
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8CC201
BCBS
TX
Enumeration date
06/21/2008
Last updated
08/10/2021
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