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Micaiah Evans, MD

Pathology, Clinical Pathology/Laboratory Medicine in Albuquerque, NM. Individual provider (NPI-1).

NPI number1164561197
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1164561197
Entity type
Individual (NPI-1)
Name
Micaiah Evans
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Feb 6, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine2006-0313NMYes

Practice location

Unm Hospital Pathology Anatomic Clinical
2211 Lomas Blvd Ne
Albuquerque, NM 87131-0001

Phone 505-272-6225

Mailing address

2211 Lomas Blvd Ne
Msc 084770
Albuquerque, NM 87131-0001

Phone 505-272-6225

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