Organization
AFFILIATED PATHOLOGISTS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE SMITH (MANAGER)
(940) 384-6270
Entity
Organization
Contact information
Practice address
1200 E PECAN ST, ALTUS, OK 73521-6141
(940) 384-6270
(940) 382-7680
Mailing address
PO BOX 1867, DENTON, TX 76202-1867
(940) 384-6270
(940) 382-7680
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100751010A
—
OK
05
—
121710101
—
TX
Enumeration date
04/14/2006
Last updated
03/15/2023
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