Organization
DIAGNOSTIC PATHOLOGY MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEREK K MARSEE MD (PRESIDENT)
(916) 447-6267
Entity
Organization
Contact information
Practice address
975 S FAIRMONT AVE, LODI, CA 95240-5118
(916) 447-6267
(916) 456-5842
Mailing address
3301 C ST STE 200E, SACRAMENTO, CA 95816-3363
(916) 447-6267
(916) 456-5842
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
05/03/2019
Last updated
05/03/2019
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