Organization
CENTURY PATH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIE MOORE (FINANCE)
(970) 245-0990
Entity
Organization
Contact information
Practice address
2460 PATTERSON RD UNIT 4, GRAND JUNCTION, CO 81505-1027
(970) 245-0990
Mailing address
2460 PATTERSON RD UNIT 4, GRAND JUNCTION, CO 81505-1027
(970) 245-0990
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
12/04/2017
Last updated
02/05/2018
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