NPI 1104156033

C.G. Elliott Foucar, MD

Practitioner Anatomic Pathology & Clinical Pathology Physician Albuquerque, NM

Practice location

Address: 14029 Wind Mountain Rd NE, Albuquerque, NM 87112-6564
Phone: (505) 275-1395
Fax: (595) 275-1395

Registered specialties (2)

Anatomic Pathology & Clinical Pathology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ZP0102X Licence 74-29 (NM)

Other Pathology providers in New Mexico →

Dermatopathology Physician

Allopathic & Osteopathic Physicians Taxonomy 207ND0900X Licence 74-29 (NM)

Other Dermatology providers in New Mexico →

Registry record

NPI: 1104156033
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Dec 2009
Record last updated: 24 Dec 2009

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.