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NPI Code Detail

MEDICARE: RENO PATHOLOGY ASSOCIATES PA

MEDICARE: RENO PATHOLOGY ASSOCIATES PA
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
1207ZC0500XCytopathology Physician
2207ZP0102XAnatomic Pathology & Clinical Pathology Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1730145616
Entity Type Code : Organization
Provider Name (Legal Business Name) : RENO PATHOLOGY ASSOCIATES PA
Provider Business Mailing Address
First Line : 2020 NORTH WALDRON
Second Line : SUITE 100
City : HUTCHINSON
State : KS
Zip : 67502
Country : US
Telephone Number : 620-665-2335
Fax Number : 620-513-3832
Provider Business Practice Location Address
First Line : 1701 E 23RD AVE
Second Line :
City : HUTCHINSON
State : KS
Zip : 67502-1105
Country : US
Telephone Number : 620-665-2335
Fax Number : 620-513-3832
Authorized Official
Title or Position : PRESIDENT
Name : DR. PAMELA D PIERCE
Credential : MD
Telephone Number : 620-665-2335
Provider Enumeration Date : 04/21/2006
Last Update Date : 04/09/2013

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