Organization
SIERRA VISTA PATHOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENDALL C KNAUS MD (MEDICAL DIRECTOR)
(800) 462-0975
Entity
Organization
Contact information
Practice address
106 BLANCA AVE, ALAMOSA, CO 81101-2340
(877) 662-4044
Mailing address
PO BOX 7065, LOVELAND, CO 80537-0065
(970) 663-2742
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01731866
—
CO
01
—
220008934
RAILROAD MEDICARE
CO
Enumeration date
06/03/2006
Last updated
04/03/2012
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