Organization
OUTPATIENT PATHOLOGY ASSOCIATES
Active
Parent organization
OUTPATIENT PATHOLOGY ASSOCIATES
Organization subpart
Yes
Provider details
NPI number
Legal business name
OUTPATIENT PATHOLOGY ASSOCIATES
Authorized official
DANIEL A EGERTER MD (PRESIDENT PATHOLOGIST)
(916) 444-0889
Entity
Organization
Contact information
Practice address
7750 COLLEGE TOWN DR, 102, SACRAMENTO, CA 95826-2356
(916) 444-0889
(916) 444-6016
Mailing address
7750 COLLEGE TOWN DR, 102, SACRAMENTO, CA 95826-2356
(916) 444-0889
(916) 444-6016
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
CLF4818
CA
207ZD0900X
Dermatopathology (Pathology) Physician
CLF4818
CA
207ZP0101X
Anatomic Pathology Physician
Primary
CLF4818
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0029350
—
CA
Enumeration date
08/08/2006
Last updated
04/09/2012
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