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Organization
ST LOUIS PATHOLOGY ASSOC INC.
Active
Organization
ST LOUIS PATHOLOGY ASSOC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW DRAKE POESCHL MD (PRESIDENT)
(314) 251-1884
Entity
Organization
Contact information
Practice address
615 S NEW BALLAS RD, SAINT LOUIS, MO 63141
(314) 251-1884
Mailing address
PO BOX 20452, COLUMBUS, OH 43220-0452
(614) 457-8180
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
NULL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
05/18/2006
Last updated
07/10/2019
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