Organization
GYNEPATH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA K PIERCE (PRESIDENT)
(405) 759-3953
Entity
Organization
Contact information
Practice address
630 N BROADWAY ST, MOORE, OK 73160-4814
(405) 759-3953
(405) 759-7513
Mailing address
630 N BROADWAY ST, MOORE, OK 73160-4814
(405) 759-3953
(405) 759-7513
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
04/20/2007
Last updated
07/20/2007
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