Organization
EDWARD J HARROW PTR, ALTON PATHOLOGY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD J HARROW (M.D.)
(618) 463-7410
Entity
Organization
Contact information
Practice address
1 MEMORIAL DR, ALTON, IL 62002-6722
(618) 463-7410
(618) 463-7641
Mailing address
PO BOX 952009, SAINT LOUIS, MO 63195-2009
(314) 821-8055
(314) 821-1833
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
036055965
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0006010035
BCBS
IL
05
—
036055965
—
IL
01
—
100723
HEALTHLINK
—
01
—
1107134
UHC
—
01
—
111193
GHP
—
01
—
117845
HEALTHLINK
—
01
—
31740
GHP
—
01
—
4000429
AETNA
—
01
—
4000541
AETNA
—
01
—
45307
GHP
—
01
—
5241
ADVANTRA/GHP
—
01
—
CL3745
TRAVELERS
—
Enumeration date
11/23/2005
Last updated
06/25/2008
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