NPI 1083784177

Professional Pathology Services PC

Organisation Anatomic Pathology & Clinical Pathology Physician Clovis, NM

Practice location

Address: 2100 N Mlk Blvd Plains Regional Medical Center, Clovis, NM 88101
Phone: (505) 769-7257
Fax: (505) 769-7243
Mailing address: 417 Innsdale Terrace APT B, Clovis, NM 88101

Authorised official

Name: John David Harris
Title: President Professional Pathology SE
Phone: (505) 769-7257

Registered specialties (2)

Anatomic Pathology & Clinical Pathology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ZP0102X Licence 8944 (NM)

Other Pathology providers in New Mexico →

Anatomic Pathology & Clinical Pathology Physician

Allopathic & Osteopathic Physicians Taxonomy 207ZP0102X Licence 2272A (WY)

Registry record

NPI: 1083784177
Entity type: Organization
NPI issued: 8 Nov 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.