Individual
MICAIAH EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
UNM HOSPITAL PATHOLOGY ANATOMIC CLINICAL, 2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87131-0001
(505) 272-6225
Mailing address
2211 LOMAS BLVD NE, MSC 084770, ALBUQUERQUE, NM 87131-0001
(505) 272-6225
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
2006-0313
NM
Other
Enumeration date
02/06/2007
Last updated
07/08/2007
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