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Organization
BIG HORN BASIN PATHOLOGY, PC
Active
Organization
BIG HORN BASIN PATHOLOGY, PC
Active
Other names
Lee K. Hermann, MCPC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAMELA P ROOT MD (PROPRIETOR)
(307) 587-5802
Entity
Organization
Contact information
Practice address
1008 CODY AVE, CODY, WY 82414-4118
(307) 587-5802
(307) 587-6041
Mailing address
707 SHERIDAN AVE, CODY, WY 82414-3409
(307) 587-5802
(307) 587-6041
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
5112A
WY
Other
Enumeration date
10/01/2007
Last updated
12/18/2007
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