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Organization

EXCALIBUR PATHOLOGY, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PAULA K PIERCE (PRESIDENT)
(405) 759-3953
Entity
Organization

Contact information

Practice address
630 N BROADWAY ST, MOORE, OK 73160-4814
(405) 759-3953
(405) 759-7513
Mailing address
630 N BROADWAY ST, MOORE, OK 73160-4814
(405) 759-3953
(405) 759-7513

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
OK

Other

Enumeration date
02/21/2007
Last updated
08/22/2020
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