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Organization
PETROGLYPH PATHOLOGY SERVICES LLC
Active
Organization
PETROGLYPH PATHOLOGY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID ROWE (LAB MANAGER)
(505) 924-0209
Entity
Organization
Contact information
Practice address
640 QUANTUM RD NE, RIO RANCHO, NM 87124-4506
(505) 924-0209
Mailing address
640 QUANTUM RD NE, RIO RANCHO, NM 87124-4506
(505) 924-0209
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
2002-0204
NM
Other
Enumeration date
03/04/2015
Last updated
04/18/2018
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