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Organization

OZARK PATHOLOGY ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROSS DOUGLAS (CEO)
(870) 425-5233
Entity
Organization

Contact information

Practice address
624 HOSPITAL DR, MOUNTAIN HOME, AR 72653-2955
(870) 508-1000
Mailing address
PO BOX 310, MOUNTAIN HOME, AR 72654-0310
(870) 425-5233
(870) 424-8455

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5C040
BCBS ID
AR
Enumeration date
02/22/2007
Last updated
08/22/2020
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