# HOOSIER PATHOLOGY PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093702375
- **Authorized official:** DANIEL C WEAVER MD (PRESIDENT)
- **Authorized official phone:** (812) 471-1591

## Contact information

- **Practice address:** 800 W 9TH ST, JASPER, IN 47546-2514
- **Practice address phone:** (800) 852-7279
- **Practice address fax:** (812) 471-6650
- **Mailing address:** PO BOX 1006, JASPER, IN 47547-1006
- **Mailing address phone:** (812) 471-1591
- **Mailing address fax:** (812) 471-6650

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | NULL | Yes |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/03/2005
- **Last updated:** 08/22/2020