Organization
COTTONWOOD PATHOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT G LOVELL MD (PHYSICIAN)
(801) 225-5407
Entity
Organization
Contact information
Practice address
945 S OREM BLVD, OREM, UT 84058-5011
(801) 225-5407
(801) 225-5623
Mailing address
P.O. BOX 1442, PROVO, UT 84603-1442
(801) 225-5407
(801) 225-5623
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
1558861205
UT
207ZD0900X
Dermatopathology (Pathology) Physician
1558861205
UT
207ZI0100X
Immunopathology Physician
1558861205
UT
207ZN0500X
Neuropathology Physician
1558861205
UT
207ZP0007X
Molecular Genetic Pathology (Pathology) Physician
1558861205
UT
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
1558861205
UT
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
1558861205
UT
Other
Enumeration date
04/23/2007
Last updated
05/29/2008
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