# PHYSICIANS PATHOLOGY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sandra K Dimmitt MD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760520555
- **Authorized official:** SANDRA K DIMMITT MD (OWNER)
- **Authorized official phone:** (918) 247-6558

## Contact information

- **Practice address:** 17936 S 273RD W AVE, BRISTOW, OK 74010
- **Practice address phone:** (918) 247-6558
- **Practice address fax:** (918) 247-6558
- **Mailing address:** 17936 S 273RD W AVE, BRISTOW, OK 74010
- **Mailing address phone:** (918) 247-6558
- **Mailing address fax:** (918) 247-6558

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | 11700 | OK | Yes |

## Other

- **Enumeration date:** 02/02/2007
- **Last updated:** 08/22/2020