Organization
MICHIGAN DIGITAL PATHOLOGY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BREGETTE BRADY (BILLING MANAGER)
(501) 500-6640
Entity
Organization
Contact information
Practice address
216 S 200 W, CEDAR CITY, UT 84720-3207
(501) 500-6640
(501) 500-6681
Mailing address
216 S 200 W, CEDAR CITY, UT 84720-3207
(501) 500-6640
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
02/25/2021
Last updated
02/25/2021
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