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Individual

RONNIE GARNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1100 CENTRAL AVE SE, PATHOLOGY ASSOCIATES, ALBUQUERQUE, NM 87106-4930
(505) 841-1259
(505) 841-1373
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-5356
(505) 923-5654

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
7535
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
27995
NM
Enumeration date
07/09/2006
Last updated
04/27/2009
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