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Organization
PRECISION PATHOLOGY MEDICAL GROUP INC
Active
Organization
PRECISION PATHOLOGY MEDICAL GROUP INC
Active
Parent organization
YOSEMITE PATHOLOGY MEDICAL GROUP
Organization subpart
Yes
Provider details
NPI number
Legal business name
YOSEMITE PATHOLOGY MEDICAL GROUP
Authorized official
ANTHONY VICTORIO MD (PRESIDENT)
(209) 577-1200
Entity
Organization
Contact information
Practice address
6001 NORRIS CANYON RD, SAN RAMON, CA 94583-5400
(925) 275-8408
Mailing address
PO BOX 576730, MODESTO, CA 95357-6730
(209) 577-1200
(209) 577-6517
Taxonomy
Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
—
NULL
207ZB0001X
Blood Banking & Transfusion Medicine Physician
—
—
207ZC0500X
Cytopathology Physician
—
NULL
207ZC0500X
Cytopathology Physician
—
—
207ZD0900X
Dermatopathology (Pathology) Physician
—
NULL
207ZD0900X
Dermatopathology (Pathology) Physician
—
—
207ZH0000X
Hematology (Pathology) Physician
—
NULL
207ZH0000X
Hematology (Pathology) Physician
—
—
207ZI0100X
Immunopathology Physician
—
NULL
207ZI0100X
Immunopathology Physician
—
—
207ZM0300X
Medical Microbiology Physician
—
NULL
207ZM0300X
Medical Microbiology Physician
—
—
207ZN0500X
Neuropathology Physician
—
NULL
207ZN0500X
Neuropathology Physician
—
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
NULL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
207ZP0104X
Chemical Pathology Physician
—
NULL
207ZP0104X
Chemical Pathology Physician
—
—
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
—
NULL
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
—
—
207ZP0213X
Pediatric Pathology Physician
—
NULL
207ZP0213X
Pediatric Pathology Physician
—
—
Other
Enumeration date
04/04/2006
Last updated
11/14/2013
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