Organization
PHOENIX PATHOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL S ROSSET MD (PRESIDENT)
(937) 223-5537
Entity
Organization
Contact information
Practice address
ONE ELIZABETH PLACE, DAYTON, OH 45408-0000
(937) 223-5537
(937) 223-9979
Mailing address
P O BOX 9397, DAYTON, OH 45409-9397
(937) 643-4049
(937) 223-9979
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0824059
—
OH
Enumeration date
08/30/2006
Last updated
10/25/2007
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