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Organization
PATHOLOGY MEDICAL SERVICES OF SIOUXLAND PC
Active
Organization
PATHOLOGY MEDICAL SERVICES OF SIOUXLAND PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL TODD KAFKA M.D. (PRESIDENT)
(712) 279-3226
Entity
Organization
Contact information
Practice address
2720 STONE PARK BLVD, SIOUX CITY, IA 51104-3734
(712) 279-3226
(712) 279-7034
Mailing address
PO BOX 100559, FLORENCE, SC 29501-0559
(843) 664-4300
(843) 664-4308
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
23374
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0175448
—
IA
01
—
32972
BCBS GRP#
IA
Enumeration date
04/04/2006
Last updated
01/15/2008
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