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Organization

PATHOLOGY ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTOPHER J LEIGH MD (TREASURER)
(563) 589-8614
Entity
Organization

Contact information

Practice address
250 MERCY DR, ROOM G211, DUBUQUE, IA 52004-0731
(563) 556-2012
(563) 556-0986
Mailing address
250 MERCY DR, P O BOX 731, DUBUQUE, IA 52004-0731
(563) 556-2012
(563) 556-0986

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0161232
IA
01
16123
BCBS IOWA PROVIDER GROUP
IA
05
32695400
WI
01
CO1425
RAILROAD MEDICARE
IA
Enumeration date
02/06/2006
Last updated
01/20/2017
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