Organization
PHYSICIANS PATHOLOGY INC
Active
Other names
Sandra K Dimmitt MD
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA K DIMMITT MD (OWNER)
(918) 247-6558
Entity
Organization
Contact information
Practice address
17936 S 273RD W AVE, BRISTOW, OK 74010
(918) 247-6558
(918) 247-6558
Mailing address
17936 S 273RD W AVE, BRISTOW, OK 74010
(918) 247-6558
(918) 247-6558
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
11700
OK
Other
Enumeration date
02/02/2007
Last updated
08/22/2020
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