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NPI Code Detail

MEDICARE: DR. PAUL CORDES M.D.

MEDICARE: DR. PAUL CORDES M.D.
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 PhysicianR6G40MO

General Provider Information

NPI Number : 1891771705
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PAUL CORDES M.D.
Provider Business Mailing Address
First Line : PO BOX 1957
Second Line : DIAGNOSTIC PATHOLOGY ASSOCIATES ATTN: LISA BROWER
City : CAPE GIRARDEAU
State : MO
Zip : 63702-1957
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1701 LACEY ST
Second Line : PATHOLOGY DEPARTMENT
City : CAPE GIRARDEAU
State : MO
Zip : 63701-5230
Country : US
Telephone Number : 573-651-5575
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/22/2005
Last Update Date : 07/08/2007

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Directions to “ DR. PAUL CORDES M.D.” Practice Location

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