Organization
HOOSIER PATHOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL C WEAVER MD (PRESIDENT)
(812) 471-1591
Entity
Organization
Contact information
Practice address
800 W 9TH ST, JASPER, IN 47546-2514
(800) 852-7279
(812) 471-6650
Mailing address
PO BOX 1006, JASPER, IN 47547-1006
(812) 471-1591
(812) 471-6650
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
10/03/2005
Last updated
08/22/2020
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