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NPI Code Detail

MEDICARE: HONORHEALTH ASC PATHOLOGY SERVICES LLC

MEDICARE: HONORHEALTH ASC PATHOLOGY SERVICES LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207ZP0102XAnatomic Pathology & Clinical Pathology Physician

General Provider Information

NPI Number : 1164080263
Entity Type Code : Organization
Provider Name (Legal Business Name) : HONORHEALTH ASC PATHOLOGY SERVICES LLC
Provider Business Mailing Address
First Line : 3033 N 44TH ST STE 200
Second Line :
City : PHOENIX
State : AZ
Zip : 85018-7244
Country : US
Telephone Number : 480-207-3716
Fax Number :
Provider Business Practice Location Address
First Line : 3033 N 44TH ST STE 200
Second Line :
City : PHOENIX
State : AZ
Zip : 85018-7244
Country : US
Telephone Number : 480-207-3716
Fax Number :
Authorized Official
Title or Position : SVP OPERATIONS
Name : BRIAN GIESSLER
Credential :
Telephone Number : 480-207-3716
Provider Enumeration Date : 06/03/2019
Last Update Date : 11/20/2019

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Directions to “HONORHEALTH ASC PATHOLOGY SERVICES LLC ” Practice Location

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