Organization
HIGH PLAINS PATHLOGY CONSULTANTS P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM A HOLM MD (PRESIDENT)
(719) 384-7734
Entity
Organization
Contact information
Practice address
1100 CARSON AVE, LA JUNTA, CO 81050-2751
(719) 384-7734
Mailing address
PO BOX 1080, LA JUNTA, CO 81050-1080
(719) 384-6577
(719) 384-2441
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
09-30086
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04004354
—
CO
Enumeration date
04/11/2007
Last updated
08/22/2020
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