Organization
MPATH, LLC
Active
Other names
Mattoch Pathology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. INGERLISA WENCHE MATTOCH MD (OWNER)
(970) 818-6788
Entity
Organization
Contact information
Practice address
1708 BOISE AVE, LOVELAND, CO 80538-4204
(970) 818-6788
(970) 372-4699
Mailing address
PO BOX 7268, LOVELAND, CO 80537-0268
(970) 663-2742
(970) 699-0159
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
49136
CO
Other
Enumeration date
01/23/2014
Last updated
02/08/2021
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