Organization
YELLOWSTONE PATHOLOGISTS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA FAY DURDEN (AUTHORIZED SIGNER)
(406) 238-6360
Entity
Organization
Contact information
Practice address
931 HIGHLAND BLVD STE 3225, BOZEMAN, MT 59715-6911
(406) 414-1004
(406) 414-5445
Mailing address
5700 SOUTHWYCK BLVD, TOLEDO, OH 43614-1509
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
07/22/2020
Last updated
07/22/2020
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