Sandra Marie Mueller, MD PHD | |
Petroglyph Pathology Services Llc, 1207b Golf Course Rd Se, Rio Rancho, NM 87124 | |
(505) 924-0209 | |
(505) 924-0210 |
Full Name | Sandra Marie Mueller |
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Gender | Female |
Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
Location | Petroglyph Pathology Services Llc, Rio Rancho, New Mexico |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205912441 | NPI | - | NPPES |
13826085 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZC0500X | Pathology - Cytopathology | 20020204 (New Mexico) | Secondary |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 20020204 (New Mexico) | Primary |
Entity Name | Petroglyph Pathology Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033501747 PECOS PAC ID: 5698794097 Enrollment ID: O20150414000267 |
Mailing Address | Practice Location Address |
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Sandra Marie Mueller, MD PHD 640 Quantum Rd Ne, Rio Rancho, NM 87124 Ph: (505) 924-0209 | Sandra Marie Mueller, MD PHD Petroglyph Pathology Services Llc, 1207b Golf Course Rd Se, Rio Rancho, NM 87124 Ph: (505) 924-0209 |
Dr. Richard Evans Zitwer, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 640 Quantum Rd Ne, Rio Rancho, NM 87124 Phone: 505-924-0209 Fax: 505-924-0210 | |
Dr. Richard Michael Mondragon, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 1207 Golf Course Rd Se Ste B, Rio Rancho, NM 87124 Phone: 505-924-0215 Fax: 505-924-0210 |