| NPI | 1467190736 |
|---|---|
| Doing Business As | TIAGA PATHOLOGY |
| Entity Type | Organization |
| Authorized Contact | INGERLISA MATTOCH Authorized Representative 970-818-6788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZD0900X Pathology, Dermatopathology |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology |
| 207ZP0101X Pathology, Anatomic Pathology | |
| Enumeration Date | 2022-05-25 |
| Last Update Date | 2022-06-14 |