Organization
PUEBLO PATHOLOGY GROUP, PC
Active
Other names
Laboratory and Pathology Consultants
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL MCCARTHY M.D. (PRESIDENT)
(719) 584-4427
Entity
Organization
Contact information
Practice address
400 W 16TH ST, PUEBLO, CO 81003-2745
(719) 542-0560
(719) 542-0561
Mailing address
200 S SANTA FE AVE, SUITE 303, PUEBLO, CO 81003-4270
(719) 542-0560
(719) 542-0561
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04310082
—
CO
Enumeration date
01/03/2007
Last updated
08/29/2023
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