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Organization

PINE BLUFF PATHOLOGISTS PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JULIE A HARRIS M.D. (PARTNER)
(870) 541-7524
Entity
Organization

Contact information

Practice address
1600 W 40TH AVE, PINE BLUFF, AR 71603-6301
(870) 541-7524
(870) 541-7543
Mailing address
1600 W 40TH AVE, PINE BLUFF, AR 71603-6301
(870) 541-7524
(870) 541-7543

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
C8173
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
129146002
AR
01
57795
BCBS
AR
01
770094202
BREASTCARE
Enumeration date
06/08/2006
Last updated
12/17/2015
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