# MOUNTAIN STATES PATHOLOGY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538932538
- **Authorized official:** DAVID NEWTON (OWNER)
- **Authorized official phone:** (719) 776-5816

## Contact information

- **Practice address:** 1000 LINCOLN ST, FORT MORGAN, CO 80701-3290
- **Practice address phone:** (970) 867-3391
- **Mailing address:** 5700 SOUTHWYCK BLVD, TOLEDO, OH 43614-1509

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | NULL | Yes |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/01/2023
- **Last updated:** 11/01/2023