Organization
KIRKWOOD PATHOLOGY SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM H BOYCE MD (PRESIDENT/PROVIDER)
(314) 966-1500
Entity
Organization
Contact information
Practice address
525 COUCH AVE, SAINT LOUIS, MO 63122-5536
(314) 966-1500
(314) 631-4672
Mailing address
PO BOX 439, BALLWIN, MO 63022-0439
(800) 354-1088
(314) 631-4491
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1208
BCBS
MO
Enumeration date
10/29/2007
Last updated
10/29/2007
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