Healthcare Provider Details

I. General information

NPI: 1689634818
Provider Name (Legal Business Name): BOYCE & BYNUM PATHOLOGY PROFESSIONAL SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2006
Last Update Date: 12/05/2024
Certification Date: 12/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 PORTLAND ST STE 110
COLUMBIA MO
65201-7390
US

IV. Provider business mailing address

PO BOX 7406
COLUMBIA MO
65205-7406
US

V. Phone/Fax

Practice location:
  • Phone: 573-886-4600
  • Fax: 573-886-4695
Mailing address:
  • Phone: 573-886-4600
  • Fax: 573-886-4695

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL D CURRY
Title or Position: PRESIDENT/CEO
Credential: MD, PHD
Phone: 573-886-4600