Organization
DOCTORS' ANATOMIC PATHOLOGY SERVICES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN WAYNE LOCKE M.D. (PRESIDENT)
(870) 930-3518
Entity
Organization
Contact information
Practice address
3024 STADIUM BLVD, JONESBORO, AR 72401-7415
(870) 930-3518
(870) 930-3569
Mailing address
PO BOX 1326, JONESBORO, AR 72403-1326
(870) 930-3518
(870) 930-3569
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5B433
BCBS PROVIDER NUMBER
AR
Enumeration date
07/31/2006
Last updated
08/22/2020
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