Organization
DOCTORS' ANATOMIC PATHOLOGY SERVICES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN WAYNE LOCKE M.D (PRESIDENT)
(870) 930-3518
Entity
Organization
Contact information
Practice address
411 E MATTHEWS AVE, JONESBORO, AR 72401-3142
(870) 930-3518
(870) 930-3569
Mailing address
PO BOX 1326, JONESBORO, AR 72403-1326
(870) 930-3518
(870) 930-3569
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5B433
BLUE CROSS BLUE SHIELD
AR
01
—
CN5534
RAILROAD MEDICARE
—
01
—
CQ3031
RAILROAD MEDICARE
—
Enumeration date
06/21/2006
Last updated
03/25/2008
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