Individual
DR. C.G. ELLIOTT FOUCAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14029 WIND MOUNTAIN RD NE, ALBUQUERQUE, NM 87112-6564
(505) 275-1395
(595) 275-1395
Mailing address
14029 WIND MOUNTAIN RD NE, ALBUQUERQUE, NM 87112-6564
(505) 275-1395
(595) 275-1395
Taxonomy
Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
74-29
NM
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
74-29
NM
Other
Enumeration date
12/24/2009
Last updated
12/24/2009
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