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Organization
SOUTHERN OHIO PATHOLOGY CONSULTANTS INC
Active
Organization
SOUTHERN OHIO PATHOLOGY CONSULTANTS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS W. PANKE M.D. (PRESIDENT)
(513) 872-1400
Entity
Organization
Contact information
Practice address
375 DIXMYTH AVE, CINCINNATI, OH 45220-2475
(513) 872-1400
Mailing address
PO BOX 632242, CINCINNATI, OH 45263-2242
(800) 503-6254
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000016917
BCBS
OH
05
—
2076784
—
OH
05
—
65923773
—
KY
01
—
CA1041
RAILROAD MEDICARE
OH
Enumeration date
11/30/2005
Last updated
12/13/2007
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