Individual
SANDRA MARIE MUELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD PHD
Contact information
Practice address
PETROGLYPH PATHOLOGY SERVICES LLC, 1207B GOLF COURSE RD SE, RIO RANCHO, NM 87124
(505) 924-0209
(505) 924-0210
Mailing address
640 QUANTUM RD NE, RIO RANCHO, NM 87124
(505) 924-0209
(505) 924-0210
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
20020204
NM
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
20020204
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13826085
—
NM
Enumeration date
10/31/2006
Last updated
06/26/2012
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