Organization
PACIFIC BREAST PATHOLOGY MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP DUTT MD (VICE PRESIDENT)
(650) 238-4033
Entity
Organization
Contact information
Practice address
101 CALYPSO SHRS, NOVATO, CA 94949-5344
(650) 238-4033
Mailing address
101 CALYPSO SHRS, NOVATO, CA 94949-5344
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
08/03/2011
Last updated
08/03/2011
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