# MOUNTAIN STATES PATHOLOGY, PC

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

## Provider details

- **NPI number:** 1568141166
- **Authorized official:** DAVID NEWTON (PRESIDENT)
- **Authorized official phone:** (719) 776-5816

## Contact information

- **Practice address:** 10860 NEW ALLEGIANCE DRIVE, COLORADO SPRINGS, CO 80921
- **Practice address phone:** (719) 776-5816
- **Mailing address:** 2222 N NEVADA AVE, COLORADO SPRINGS, CO 80907-6819
- **Mailing address phone:** (719) 776-5821

## 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:** 07/12/2023
- **Last updated:** 07/12/2023