Pathology Assoc Of The Roaring Fork

NPI 1386624203 - Pathology - 207ZP0102X

NPI Details
NPI 1386624203
Enumeration Date 01/18/2006
Last Updated 10/12/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JERRY S JERRY
Position PRESIDENT PATHOLOGIST
Phone (970) 945-6535
Fax
Practice Location
1906 BLAKE AVE
GLENWOOD SPGS CO, 81601-4227, US
Phone (970) 945-6535
Fax
Business Location
PO BOX 2725
GLENWOOD SPGS CO, 81602-2725, US
Phone (970) 945-1443
Fax (970) 947-9410
Toxanomy
Taxonomy Code 207ZP0102X
License State
License Number
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According to our database, Pathology Assoc Of The Roaring Fork NPI is 1386624203, taxonomy code is 207ZP0102X Pathology Assoc Of The Roaring Fork physically located at 1906 Blake Ave, Glenwood Spgs CO, 81601-4227. NPI Number 1033115704 has the healthcare provider type.

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1386624203 NPI number is provided on an as is basis without warranty of any kind. 1386624203 is maintained by the National Plan & Provider Enumeration System. The contents of Pathology Assoc Of The Roaring Fork are for informational purposes only.