Dr Dale Marcus Selby, MD | |
2200 Bergquist Dr, Suite 1, Wilford Hall Medical Center, Dept Of Pathology, Lackland A F B, TX 78236-9907 | |
(210) 292-5455 | |
Not Available |
Full Name | Dr Dale Marcus Selby |
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Gender | Male |
Speciality | Pathology |
Experience | 28 Years |
Location | 2200 Bergquist Dr, Lackland A F B, Texas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922088103 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 4301079315 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Missouri Baptist Medical Center | Town and country, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Parkway Pathology Group Inc | 5496728818 | 7 |
Entity Name | Parkway Pathology Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245206960 PECOS PAC ID: 5496728818 Enrollment ID: O20040814000088 |
Mailing Address | Practice Location Address |
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Dr Dale Marcus Selby, MD 8202 Creekrun Path, San Antonio, TX 78249-3820 Ph: (210) 681-1247 | Dr Dale Marcus Selby, MD 2200 Bergquist Dr, Suite 1, Wilford Hall Medical Center, Dept Of Pathology, Lackland A F B, TX 78236-9907 Ph: (210) 292-5455 |
Dr. Lisa Karen Culton, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 2200 Bergquist Dr Ste 1, Lackland A F B, TX 78236 Phone: 210-292-4569 Fax: 210-292-7484 | |
Janet Shaw, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 2200 Bergquist Dr, Wilford Hall Medical Center/mtlp, Lackland A F B, TX 78236 Phone: 210-292-5524 Fax: 210-292-7484 | |
Dr. Kondi Wong, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 2200 Bergquist Dr, Attn Credentials (cmc), Lackland A F B, TX 78236 Phone: 210-292-6812 |