Organization
BOSTWICK PATHOLOGY
Active
Organization
BOSTWICK PATHOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANK BOSTWICK MD (PATHOLOGIST)
(601) 927-7764
Entity
Organization
Contact information
Practice address
408 BAY CV, RIDGELAND, MS 39157-9203
(601) 927-7764
Mailing address
408 BAY CV, RIDGELAND, MS 39157-9203
(601) 927-7764
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
04959
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N/A
BLUE CROSS
MS
Enumeration date
10/21/2014
Last updated
10/23/2014
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