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Organization

MOSAIC GASTROINTESTINAL PATHOLOGY SERVICES PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JULIA DAHL MD (CHIEF EXECUTIVE OFFICER)
(901) 850-3582
Entity
Organization

Contact information

Practice address
1318 MARSH CREEK LN, COLLIERVILLE, TN 38017-3940
(901) 850-3582
(866) 359-8798
Mailing address
1318 MARSH CREEK LN, COLLIERVILLE, TN 38017-3940
(901) 850-3582
(866) 359-8798

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
01061121A
IN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
0431573
KS
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
043452
CT
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
15159R
LA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
18432
MS
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
236521
NY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
26678
TN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
27153
AL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
28383
SC
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
38315
TN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
5898862
UT
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
DR-44161
CO
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
L4321
TX
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MD35554
WA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MD38561
WA

Other

Enumeration date
07/20/2006
Last updated
12/04/2008
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