Organization
NORTHEAST PATHOLOGY ASSOCIATES, PC
Active
Other names
Northeast Iowa Pathology Associates, PC
Organization subpart
No
Provider details
NPI number
Authorized official
KENT A NICKELL M.D. (OWNER)
(319) 235-3679
Entity
Organization
Contact information
Practice address
1825 LOGAN AVE, WATERLOO, IA 50703-1916
(319) 235-3679
(319) 233-0722
Mailing address
PO BOX 2818, WATERLOO, IA 50704-2818
(319) 233-3044
(319) 233-0722
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
05/02/2006
Last updated
07/16/2015
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