Gynepath

NPI 1063639771 - Clinical Medical Laboratory - 291U00000X

NPI Details
NPI 1063639771
Enumeration Date 04/20/2007
Last Updated 07/20/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name PAULA K PAULA
Position PRESIDENT
Phone (405) 759-3953
Fax (405) 759-7513
Practice Location
630 N BROADWAY ST
MOORE OK, 73160-4814, US
Phone (405) 759-3953
Fax (405) 759-7513
Business Location
630 N BROADWAY ST
MOORE OK, 73160-4814, US
Phone (405) 759-3953
Fax (405) 759-7513
Toxanomy
Taxonomy Code 291U00000X
License State
License Number
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According to our database, Gynepath NPI is 1063639771, taxonomy code is 291U00000X Gynepath physically located at 630 N Broadway St, Moore OK, 73160-4814. NPI Number 1033115704 has the healthcare provider type.

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1063639771 NPI number is provided on an as is basis without warranty of any kind. 1063639771 is maintained by the National Plan & Provider Enumeration System. The contents of Gynepath are for informational purposes only.