Organization
SOUTHWESTERN PATHOLOGISTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEBORAH E. WARD MD (PRESIDENT)
(937) 352-2165
Entity
Organization
Contact information
Practice address
1141 N MONROE DR, GREENE MEMORIAL HOSPITAL PATH DEPT, XENIA, OH 45385-1619
(937) 372-8011
(937) 352-3162
Mailing address
219 DELLWOOD AVE., DAYTON, OH 45419-3522
(800) 554-2695
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0721508
—
OH
01
—
CB1381
RR MEDICARE
OH
Enumeration date
01/13/2006
Last updated
05/05/2011
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