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Organization

CENTRAL PATHOLOGY SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARK D MOWRY D.O. (OWNER)
(308) 865-7100
Entity
Organization

Contact information

Practice address
10 E 31ST ST, KEARNEY, NE 68847-2926
(308) 865-7100
Mailing address
PO BOX 1857, NORTH PLATTE, NE 69103-1857
(308) 647-6444
(866) 902-2445

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10025121200
NE
Enumeration date
09/25/2006
Last updated
05/20/2014
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