Marvin Jordan Godner
M.D. | Pediatrics | Male
Marvin Jordan Godner, M.D. is a San Felipe Pueblo, New Mexico based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Marvin Jordan Godner is
711 Pueblo Main Street, San Felipe Pueblo, New Mexico - 87001. He can be contacted on phone at
505-867-3365.
Marvin Jordan Godner is a sole proprietor of his business.
NPI number (Unique professional ID) for Marvin Jordan Godner is
1164439261 which was assigned by NPPES on 02 Aug, 2006 and it was last updated on 08 Jul, 2007.
Marvin Jordan Godner license number is
75-38 for Pediatrics (208000000X) in New Mexico.
Marvin Jordan Godner is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Marvin Jordan Godner basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Marvin Jordan Godner |
|---|
| Credential : | M.D. |
|---|
| Gender : | Male |
|---|
| Sole Proprietor : | Yes |
|---|
Business Address:
Marvin Jordan Godner address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 711 Pueblo Main Street
San Felipe Pueblo, NM, 87001
United States |
|---|
| Phone Number : | 505-867-3365 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1164439261 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 02 Aug, 2006 |
|---|
| Last Updated On : | 08 Jul, 2007 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Marvin Jordan Godner are as mentioned. Primary taxonomy code for Marvin Jordan Godner, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 75-38 | NM |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 2313 Calle Colibri
Santa Fe, NM, 87505-6301
United States |
|---|
| Phone Number : | 505-983-0507 |
|---|
Business Location:
Patients can refer following map for directions to
Marvin Jordan Godner practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.