Organization
ST LOUIS PATHOLOGY ASSOC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARRY G CORDES M.D. (PATHOLOGIST)
(314) 991-8015
Entity
Organization
Contact information
Practice address
660 OFFICE PKWY, SAINT LOUIS, MO 63141-7103
(314) 991-8015
Mailing address
660 OFFICE PKWY, SAINT LOUIS, MO 63141-7103
(314) 991-8015
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
110857
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000011348
GROUP PTAN
MO
05
—
501888903
—
MO
Enumeration date
04/02/2008
Last updated
07/30/2014
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