| NPI | 1124441431 |
|---|---|
| Doing Business As | MATTOCH PATHOLOGY |
| Entity Type | Organization |
| Authorized Contact | INGERLISA WENCHE MATTOCH Owner 970-818-6788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0101X Pathology Anatomic Pathology (Licence: CO 49136) |
| Enumeration Date | 2014-01-23 |
| Last Update Date | 2021-02-08 |