Organization
GOLDEN EMPIRE PATHOLOGY MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP L. DUTT MD (OWNER)
(661) 326-2256
Entity
Organization
Contact information
Practice address
1830 FLOWER ST, BAKERSFIELD, CA 93305-4144
(661) 326-2256
(661) 872-3366
Mailing address
1830 FLOWER ST, BAKERSFIELD, CA 93305-4144
(661) 326-2256
(661) 872-3366
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
G80286
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G80286
MEDICAL LICENSE
CA
Enumeration date
05/09/2007
Last updated
08/22/2020
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