Organization
SALINAS PATHOLOGY SERVICES MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW J WILSON M.D. (PRESIDENT)
(831) 758-1223
Entity
Organization
Contact information
Practice address
450 E ROMIE LN, SALINAS, CA 93901-4029
(831) 758-1223
(831) 758-0404
Mailing address
820 PARK ROW PMB 688, SALINAS, CA 93901
(831) 758-1223
(831) 758-0404
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0025830
—
CA
Enumeration date
04/11/2006
Last updated
03/15/2011
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