Organization
ASSOCIATES OF PATHOLOGY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINE BERRETT (OFFICE MANAGER)
(435) 734-0101
Entity
Organization
Contact information
Practice address
5475 S 500 E, OGDEN, UT 84405-6905
(435) 734-0101
(801) 317-4872
Mailing address
6112 S 1550 E STE 3, SOUTH OGDEN, UT 84405-5018
(435) 734-0101
(801) 317-4872
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
46D0660903
UT
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
46D0660903
UT
Other
Enumeration date
09/26/2007
Last updated
03/29/2018
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