NPI 1124215553

Big Horn Basin Pathology, PC

Organisation Anatomic Pathology & Clinical Pathology Physician Cody, WY

Practice location

Address: 1008 Cody Ave, Cody, WY 82414-4118
Phone: (307) 587-5802
Fax: (307) 587-6041
Mailing address: 707 Sheridan Ave, Cody, WY 82414-3409

Authorised official

Name: Pamela P Root
Title: Proprietor
Phone: (307) 587-5802

Registered specialties

Anatomic Pathology & Clinical Pathology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ZP0102X Licence 5112A (WY)

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Registry record

NPI: 1124215553
Entity type: Organization
NPI issued: 1 Oct 2007
Record last updated: 18 Dec 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.