Organization
PORTAGE PATHOLOGY ASSOCIATES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD L NELSON MD (PRESIDENT)
(330) 297-0811
Entity
Organization
Contact information
Practice address
6847 N CHESTNUT ST, RAVENNA, OH 44266-3929
(330) 297-0811
Mailing address
5620 SOUTHWYCK BLVD, TOLEDO, OH 43614-1501
(800) 627-7081
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
11/30/2005
Last updated
10/11/2007
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