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Organization

ENID PATHOLOGY CONSULTANTS INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOE E. SNODGRASS M.D. (PRESIDENT)
(580) 237-0171
Entity
Organization

Contact information

Practice address
1204 W. WILLOW ROAD STE C, ENID, OK 73703
(580) 237-0171
(580) 237-0412
Mailing address
1204 W. WILLOW ROAD STE C, ENID, OK 73703
(580) 237-0171
(580) 237-0412

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
19325
OK
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100737320A
OK
Enumeration date
07/04/2006
Last updated
04/11/2018
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