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Organization
OWENSBORO PATHOLOGY PSC
Active
Organization
OWENSBORO PATHOLOGY PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID S GRAHAM MD (PRESIDENT)
(812) 471-1591
Entity
Organization
Contact information
Practice address
811 E PARRISH AVE, OWENSBORO, KY 42303-3258
(812) 471-1591
(812) 471-6650
Mailing address
5700 SOUTHWYCK BLVD, TOLEDO, OH 43614-1509
(800) 288-8325
(419) 866-5453
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
10/19/2005
Last updated
03/29/2013
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