Organization
DIAGNOSTIC PATHOLOGY SERVICES OF THE CENTRAL COAST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN FERGUSON MD (PRESIDENT)
(805) 548-1550
Entity
Organization
Contact information
Practice address
1400 E CHURCH ST, SANTA MARIA, CA 93454-5906
(805) 541-6033
Mailing address
PO BOX 5158, SAN LUIS OBISPO, CA 93403-5158
(805) 548-1550
(805) 548-1876
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
05D0587424
CA
Other
Enumeration date
02/08/2013
Last updated
09/07/2023
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