| NPI | 1063466225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD STILLINGER Secretary Treasurer 208-381-2367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZC0500X Pathology Cytopathology |
| Additional Taxonomies | 207ZD0900X Pathology Dermatopathology |
| 207ZH0000X Pathology Hematology | |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology | |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2020-08-22 |