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NPI Code Detail

MEDICARE: DIAGNOSTIC PATHOLOGY ASSOCIATES

MEDICARE: DIAGNOSTIC PATHOLOGY ASSOCIATES
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 PhysicianMO

General Provider Information

NPI Number : 1962488874
Entity Type Code : Organization
Provider Name (Legal Business Name) : DIAGNOSTIC PATHOLOGY ASSOCIATES
Provider Business Mailing Address
First Line : PO BOX 1957
Second Line : 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 : PRESIDENT
Name : DR. MARK HOSLER
Credential : M.D.
Telephone Number : 573-651-5575
Provider Enumeration Date : 12/22/2005
Last Update Date : 08/22/2020

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1891771705 — DR. PAUL CORDES M.D.
Practice Location Address:
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Directions to “DIAGNOSTIC PATHOLOGY ASSOCIATES ” Practice Location

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