# PARAGOULD PATHOLOGY PA, DAPS PA

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

## Provider details

- **NPI number:** 1295755064
- **Authorized official:** DWIGHT FRANKLIN BOGGS M.D. (PRESIDENT)
- **Authorized official phone:** (870) 930-3518

## Contact information

- **Practice address:** 900 W KINGSHIGHWAY, PARAGOULD, AR 72450-5942
- **Practice address phone:** (870) 930-3518
- **Practice address fax:** (870) 930-3569
- **Mailing address:** PO BOX 668, JONESBORO, AR 72403-0668
- **Mailing address phone:** (870) 930-3518
- **Mailing address fax:** (870) 930-3569

## 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:** 07/21/2006
- **Last updated:** 08/22/2020