# TRESRIOS PATHOLOGY PC

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

## Provider details

- **NPI number:** 1932217536
- **Authorized official:** DR. SCOTT OTTESON MD (VICE PRESIDENT)
- **Authorized official phone:** (505) 327-2930

## Contact information

- **Practice address:** 801 W MAPLE ST, FARMINGTON, NM 87401-5630
- **Practice address phone:** (505) 327-2930
- **Practice address fax:** (505) 599-6290
- **Mailing address:** PO BOX 407, FARMINGTON, NM 87499-0407
- **Mailing address phone:** (505) 327-2930
- **Mailing address fax:** (505) 599-6290

## 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:** 08/25/2006
- **Last updated:** 08/22/2020