Organization
AW PATHOLOGY MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AGNES WU M.D. (OWNER)
(661) 325-2640
Entity
Organization
Contact information
Practice address
2215 TRUXTUN AVE, BAKERSFIELD, CA 93301-3602
(661) 632-5483
Mailing address
1700 C ST, BAKERSFIELD, CA 93301-3616
(661) 325-2640
(661) 327-0816
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0098220
—
CA
05
—
GR0098221
—
CA
Enumeration date
07/06/2006
Last updated
12/29/2008
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