Organization
EL DORADO PATHOLOGY MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL C BERRY M.D. (PRESIDENT)
(530) 626-5421
Entity
Organization
Contact information
Practice address
1000 FOWLER WAY, STE 4, PLACERVILLE, CA 95667-5738
(530) 626-5421
(530) 626-4265
Mailing address
1000 FOWLER WAY, STE 4, PLACERVILLE, CA 95667-5738
(530) 626-5421
(530) 626-4265
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
204723
CA
Other
Enumeration date
06/24/2005
Last updated
01/07/2021
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