Organization
BOOKCLIFFS PATHOLOGY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEO W. HARDY M.D., FCAPMD (PRESIDENT)
(435) 637-4800
Entity
Organization
Contact information
Practice address
300 N HOSPITAL DR, PRICE, UT 84501-4218
(435) 637-4800
(435) 637-0621
Mailing address
5700 SOUTHWYCK BLVD, TOLEDO, OH 43614-1509
(800) 288-8325
(419) 866-5453
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
1884531205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
528068576002
—
UT
Enumeration date
12/31/2009
Last updated
07/30/2013
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