Organization
GILA PATHOLOGY SERVICES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAREN S BLISARD PHD MD (PRESIDENT)
(575) 538-4058
Entity
Organization
Contact information
Practice address
1313 E. 32ND ST, LABORATORY, SILVER CITY, NM 88061
(575) 538-4058
(575) 574-4992
Mailing address
1313 E. 32ND ST, LABORATORY, SILVER CITY, NM 88061
(575) 538-4058
(575) 574-4992
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z8086
—
NM
Enumeration date
06/26/2007
Last updated
06/15/2010
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