Organization
MAWD PATHOLOGY GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF W WILSON (GENERAL MANAGER)
(913) 396-8509
Entity
Organization
Contact information
Practice address
9705 LENEXA DR, LENEXA, KS 66215-1345
(913) 396-8509
(913) 495-9743
Mailing address
9705 LENEXA DR, LENEXA, KS 66215-1345
(913) 396-8509
(913) 495-9743
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
26D0652254
MO
Other
Enumeration date
12/03/2008
Last updated
03/28/2019
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