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Organization
DIAGNOSTIC PATHOLOGY SERVICES OF THE CENTRAL COAST
Active
Organization
DIAGNOSTIC PATHOLOGY SERVICES OF THE CENTRAL COAST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN FERGUSON MD (PRESIDENT)
(805) 548-1550
Entity
Organization
Contact information
Practice address
1400 E CHURCH ST, SANTA MARIA, CA 93454-5906
(805) 541-6033
Mailing address
PO BOX 5158, SAN LUIS OBISPO, CA 93403-5158
(805) 548-1550
(805) 548-1876
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
05D0587424
CA
Other
Enumeration date
02/08/2013
Last updated
09/07/2023
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