Organization
PROFESSIONAL PATHOLOGY ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISABELL E SPEER (OWNER)
(928) 774-1693
Entity
Organization
Contact information
Practice address
1200 N BEAVER ST, FLAGSTAFF, AZ 86001-3118
(928) 779-3366
Mailing address
1050 N SAN FRANCISCO ST STE D, FLAGSTAFF, AZ 86001-3259
(928) 774-1693
(928) 774-3533
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
20030
AZ
Other
Enumeration date
12/06/2007
Last updated
12/07/2007
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