Organization
WYOMING PATHOLOGY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES F MARTINCHICK MD (PRESIDENT)
(307) 742-2141
Entity
Organization
Contact information
Practice address
255 N 30TH ST, LARAMIE, WY 82072-5140
(307) 742-2141
Mailing address
PO BOX 270592, LOUISVILLE, CO 80027-5009
(405) 947-8584
(405) 948-6507
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106246800
—
WY
01
—
611967200
DOL BLACK LUNG
WY
01
—
86079
ALTIUS HEALTHCARE
WY
Enumeration date
08/01/2006
Last updated
01/28/2010
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