Organization
BIG HORN BASIN PATHOLOGY, PC
Active
Other names
Lee K. Hermann, MCPC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAMELA P ROOT MD (PROPRIETOR)
(307) 587-5802
Entity
Organization
Contact information
Practice address
1008 CODY AVE, CODY, WY 82414-4118
(307) 587-5802
(307) 587-6041
Mailing address
707 SHERIDAN AVE, CODY, WY 82414-3409
(307) 587-5802
(307) 587-6041
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
5112A
WY
Other
Enumeration date
10/01/2007
Last updated
12/18/2007
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