Sierra Vista Pathology

NPI 1114965100 - Specialist - 174400000X

NPI Details
NPI 1114965100
Enumeration Date 06/03/2006
Last Updated 04/03/2012
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name KENDALL C KENDALL
Position MEDICAL DIRECTOR
Phone (877) 662-4044
Fax
Practice Location
106 BLANCA AVE
ALAMOSA CO, 81101-2340, US
Phone (877) 662-4044
Fax
Business Location
PO BOX 7065
LOVELAND CO, 80537-0065, US
Phone (970) 663-2742
Fax
Toxanomy
Taxonomy Code 174400000X
License State
License Number
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According to our database, Sierra Vista Pathology NPI is 1114965100, taxonomy code is 174400000X Sierra Vista Pathology physically located at 106 Blanca Ave, Alamosa CO, 81101-2340. NPI Number 1033115704 has the healthcare provider type.

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1114965100 NPI number is provided on an as is basis without warranty of any kind. 1114965100 is maintained by the National Plan & Provider Enumeration System. The contents of Sierra Vista Pathology are for informational purposes only.