Organization
PATHOLOGY GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES BRINKWORTH MD (PRESIDENT)
(405) 947-8584
Entity
Organization
Contact information
Practice address
1000 N LEE AVE, OKLAHOMA CITY, OK 73102-1036
(405) 272-7041
(405) 948-6507
Mailing address
PO BOX 26303, OKLAHOMA CITY, OK 73126-0303
(405) 947-8584
(405) 948-6507
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3090902
BCBS TN
TN
Enumeration date
06/13/2006
Last updated
04/20/2008
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