Individual
DR. THOMAS G MCCONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 CENTRAL AVE SE, PATHOLOGY ASSOCIATES OF ALBUQUERQUE, ALBUQUERQUE, NM 87106-4930
(505) 841-1330
(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
MD2013-0556
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3812673
—
TN
01
—
4224232
BLUE CROSS
TN
01
—
P00738992
RRMC
—
Enumeration date
06/29/2006
Last updated
07/16/2024
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