Organization
THE PATHOLOGY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT H DAVIS MD, PHD (PRESIDENT)
(937) 599-7015
Entity
Organization
Contact information
Practice address
205 PALMER AVENUE, BELLEFONTAINE, OH 43311
(937) 592-4015
(419) 866-5453
Mailing address
PO BOX 477, BELLEFONTAINE, OH 43311-0477
(800) 288-8325
(419) 866-5453
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
35043604
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CL0527
RAILROAD MEDICARE
—
Enumeration date
11/22/2005
Last updated
12/09/2013
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