Physicians Pathology INC

NPI #1760520555 in Bristow, Oklahoma

Provider Information

NPI Number: 1760520555
Entity Type: Organization
Organization Name: Physicians Pathology INC
Primary Specialty: Pathology - Anatomic Pathology & Clinical Pathology
Enumeration Date: Feb 2, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 17936 S 273RD W AVE
City: Bristow
State: Oklahoma
ZIP Code: 74010
Phone: (918) 247-6558

Authorized Official

Name: SANDRA K DIMMITT, MD
Title: OWNER
Phone: (918) 247-6558

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pathology - Anatomic Pathology & Clinical Pathology — Anatomic Pathology & Clinical Pathology	207ZP0102X	Primary

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