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Organization
BOYCE & BYNUM - CHARITON LAB LLC
Active
Organization
BOYCE & BYNUM - CHARITON LAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL GRAY (ADMINISTRATOR)
(573) 886-4600
Entity
Organization
Contact information
Practice address
800 W JEFFERSON ST, KIRKSVILLE, MO 63501-1443
(660) 626-2361
(660) 626-2244
Mailing address
200 PORTLAND ST, COLUMBIA, MO 65201-6525
(573) 886-4600
(573) 886-4695
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
—
—
207ZP0101X
Anatomic Pathology Physician
Primary
—
—
Other
Enumeration date
08/27/2009
Last updated
08/27/2009
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