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Organization

PARK PATHOLOGY ASSOCIATES INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOON PARK MD (PRESIDENT)
(419) 468-0708
Entity
Organization

Contact information

Practice address
269 PORTLAND WAY S, GALION, OH 44833-2312
(800) 594-1876
Mailing address
5620 SOUTHWYCK BLVD, TOLEDO, OH 43614-1501
(800) 594-1876

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000163396
ANTHEM
OH
05
0690453
OH
01
CF1562
RAILROAD MEDICARE
Enumeration date
09/13/2005
Last updated
07/21/2022
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