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Organization
PUEBLO PATHOLOGY GROUP, PC
Active
Organization
PUEBLO PATHOLOGY GROUP, PC
Active
Other names
Laboratory and Pathology Consultants
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL MCCARTHY M.D. (PRESIDENT)
(719) 584-4427
Entity
Organization
Contact information
Practice address
400 W 16TH ST, PUEBLO, CO 81003-2745
(719) 542-0560
(719) 542-0561
Mailing address
200 S SANTA FE AVE, SUITE 303, PUEBLO, CO 81003-4270
(719) 542-0560
(719) 542-0561
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04310082
—
CO
Enumeration date
01/03/2007
Last updated
08/29/2023
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