Organization
FORWARD PATHOLOGY SOLUTIONS WICHITA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM SMITHAM (VP OF OPERATIONS)
(303) 584-8119
Entity
Organization
Contact information
Practice address
550 N HILLSIDE ST, WICHITA, KS 67214-4910
(615) 309-2078
Mailing address
PO BOX 745871, ATLANTA, GA 30374-5871
(954) 507-6780
(866) 262-5507
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
10/09/2020
Last updated
09/21/2021
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