Provider First Line Business Practice Location Address:
1000 W 10TH ST.
Provider Second Line Business Practice Location Address:
DEPT. OF PATHOLOGY
Provider Business Practice Location Address City Name:
ROLLA
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
65401
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
573-458-7053
Provider Business Practice Location Address Fax Number:
573-458-8400
Provider Enumeration Date:
10/04/2006