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PRECISION PATHOLOGY MEDICAL GROUP INC

Physicians Pathology Blood Banking & Transfusion Medicine

Provider NPI: 1295797355

Organization Information:
Organization Name:  PRECISION PATHOLOGY MEDICAL GROUP INC
Organization is Subpart
Authorized Official:  ANTHONY  VICTORIO  PRESIDENT  209-577-1200

Practice Location:
6001 NORRIS CANYON RD  SAN RAMON, CA 94583-5400 US
Tel: 925-275-8408  Fax: --

Business Mailing Address:
PO BOX 576730  MODESTO, CA 95357-6730 US
Tel: 209-577-1200  Fax: 209-577-6517

NPI Information:
NPI: 1295797355
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N207ZB0001XPhysicians
Pathology
Blood Banking & Transfusion Medicine
N207ZP0104XPhysicians
Pathology
N207ZM0300XPhysicians
Pathology
N207ZN0500XPhysicians
Pathology
N207ZP0105XPhysicians
Pathology
N207ZC0500XPhysicians
Pathology
N207ZD0900XPhysicians
Pathology
N207ZH0000XPhysicians
Pathology
N207ZI0100XPhysicians
Pathology
N207ZP0213XPhysicians
Pathology
Y207ZP0102XPhysicians
Pathology

Other Provider Identifiers:

IssuerNumberStateType
RAILROAD MEDICAREDB2871CA01



American Medical Association 2012 taxonomy code information

Code: 207ZP0102X

Type:

Classification:



Definition:



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