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Organization

WESTERN PATHOLOGY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KURT F LUNDQUIST MD (AUTHORIZED OFFICIAL/PRESIDENT)
(805) 748-6214
Entity
Organization

Contact information

Practice address
3440 EMPRESA DR, SUITE B, SAN LUIS OBISPO, CA 93401-7345
(805) 543-5000
(805) 543-5199
Mailing address
PO BOX 84392, SEATTLE, WA 98124-5692
(805) 548-1550

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary

Other

Enumeration date
02/20/2013
Last updated
11/19/2024
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