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Individual

DR. DARYL RAY THARP JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3300 OAKDALE AVE N, ROBBINSDALE, MN 55422-2926
(763) 520-5200
Mailing address
NORTH PATHOLOGY ASSOCIATES, 3300 OAKDALE AVE N, ROBBINSDALE, MN 55422
(763) 581-4150

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
120499
FL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
48043
KY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
56127
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
H400441713
MEDICARE
MN
Enumeration date
08/15/2008
Last updated
10/13/2020
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