Organization
SUMMIT PATHOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF CHRISTINSON (CEO)
(970) 212-0557
Entity
Organization
Contact information
Practice address
2301 HOUSE AVE STE 108, CHEYENNE, WY 82001-3177
(307) 274-3057
Mailing address
PO BOX 913258, DENVER, CO 80291-3258
(970) 212-0530
Taxonomy
Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
—
—
207ZH0000X
Hematology (Pathology) Physician
—
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
10/15/2020
Last updated
10/15/2020
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