Individual
DR. J KEITH PINCKARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
OFFICE OF THE MEDICAL INVESTIGATOR, MSC07 4040, 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
(505) 925-3053
(505) 925-0546
Mailing address
OFFICE OF THE MEDICAL INVESTIGATOR, MSC07 4040, 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
(505) 925-3053
(505) 925-0546
Taxonomy
Speciality
Code
Description
License number
State
207ZF0201X
Forensic Pathology Physician
L6575
TX
207ZF0201X
Forensic Pathology Physician
Primary
MD2012-0021
NM
Other
Enumeration date
09/25/2010
Last updated
08/15/2013
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