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Organization
PATHOLOGY ASSOCIATES PC
Active
Organization
PATHOLOGY ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN EDWARD TRUELL M.D. (PRESIDENT)
(303) 788-6129
Entity
Organization
Contact information
Practice address
501 E HAMPDEN AVE, ENGLEWOOD, CO 80113-2702
(303) 788-6130
Mailing address
PO BOX 30309, CHARLESTON, SC 29417-0309
(843) 554-9300
(843) 566-8780
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
—
CO
207ZH0000X
Hematology (Pathology) Physician
—
CO
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
CO
291U00000X
Clinical Medical Laboratory
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04829040
—
CO
05
—
113352700
—
WY
Enumeration date
04/05/2006
Last updated
09/11/2008
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