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Physicians Pathology Molecular Genetic Pathology

Provider NPI: 1346330834

Provider Information:
Gender: M
Not Sole Proprietor

Practice Location:
1 CHILDRENS WAY # 653  LITTLE ROCK, AR 72202-3500 US
Tel: 501-364-1100  Fax: 501-526-7983

Business Mailing Address:
1 CHILDRENS WAY # 653  LITTLE ROCK, AR 72202-3500 US
Tel: 501-364-1100  Fax: 501-526-7983

NPI Information:
NPI: 1346330834
Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
Molecular Genetic Pathology

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 207ZP0007X





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