Organization
PATHOLOGY SPECIALIST OF ARIZONA, LLP
Active
Other names
Pathology Specialist of Arizona, Pathology Specialists of Arizona
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BEA SONTHIPANYA (CREDENTIALING DIRECTOR)
(480) 478-8057
Entity
Organization
Contact information
Practice address
424 S 56TH ST STE 120, PHOENIX, AZ 85034-2177
(602) 685-5166
(602) 685-5325
Mailing address
PO BOX 29650, DEPT #880445, PHOENIX, AZ 85038-2210
(623) 266-7770
(623) 322-4639
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
647696
—
AZ
Enumeration date
01/18/2006
Last updated
07/23/2024
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