Organization
JOPLIN PATHOLOGY PROFESSIONALS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL P. HURLY MD (PRESIDENT)
(417) 623-6330
Entity
Organization
Contact information
Practice address
2727 MCCLELLAND BLVD, ST. JOHN'S REGIONAL MED CTR PATHOLOGY DEPT, JOPLIN, MO 64804-1626
(417) 625-2130
(417) 625-2907
Mailing address
2700 MCCLELLAND BLVD, 205B, JOPLIN, MO 64804-1623
(417) 623-6330
(471) 623-3950
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1962702225
—
MO
05
—
200317740A
—
OK
05
—
200689110A
—
KS
Enumeration date
11/02/2010
Last updated
05/02/2011
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