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Organization

WESTERN PATHOLOGY CONSULTANTS, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STEPHANIE J JOHNSON MD (PRESIDENT)
(308) 630-1919
Entity
Organization

Contact information

Practice address
4021 AVENUE B, SCOTTSBLUFF, NE 69361-4602
(308) 630-1919
(308) 632-7053
Mailing address
PO BOX 1886, SCOTTSBLUFF, NE 69361-1886
(308) 632-2900
(308) 632-2902

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
558-0550
SD
01
CF9907
RAILROAD MEDICARE
NE
Enumeration date
08/08/2006
Last updated
04/20/2008
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