Professional Pathology Services Pc

NPI 1083784177 - Pathology - 207ZP0102X

NPI Details
NPI 1083784177
Enumeration Date 11/08/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JOHN DAVID JOHN
Position PRESIDENT PROFESSIONAL PATHOLOGY SE
Phone (505) 769-7257
Fax (505) 769-7243
Practice Location
2100 N MLK BLVD
PLAINS REGIONAL MEDICAL CENTER
CLOVIS NM, 88101, US
Phone (505) 769-7257
Fax (505) 769-7243
Business Location
417 INNSDALE TERRACE
APT B
CLOVIS NM, 88101, US
Phone (505) 762-0824
Fax (505) 769-7243
Toxanomy
Taxonomy Code 207ZP0102X
License State Wyoming
License Number 2272A
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According to our database, Professional Pathology Services Pc NPI is 1083784177, taxonomy code is 207ZP0102X and license number is 2272A, license state is located at Wyoming. Professional Pathology Services Pc physically located at 2100 N Mlk Blvd, Clovis NM, 88101. NPI Number 1033115704 has the healthcare provider type.

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1083784177 NPI number is provided on an as is basis without warranty of any kind. 1083784177 is maintained by the National Plan & Provider Enumeration System. The contents of Professional Pathology Services Pc are for informational purposes only.