institution
Tri-state Gastroenterology Associates, Psc
Ambulatory Surgical Clinic/Center in Crestview Hills, Kentucky
NPI 1487651956

Tri-state Gastroenterology Associates, Psc is an Ambulatory Surgical Clinic/Center based in Crestview Hills, KY and is specialized in Ambulatory Surgical. Tri-state Gastroenterology Associates, Psc practices in Crestview Hills, KY. The NPI Number for Tri-state Gastroenterology Associates, Psc is 1487651956 and holds a License No. 300096 (Kentucky).

The current practice location address for Tri-state Gastroenterology Associates, Psc is 425 Centre View Blvd, Crestview Hills, KY and can be reached out via phone at 859-341-3575 and via fax at 859-341-5702.

Location: 425 Centre View Blvd, Crestview Hills, KY, 41017-3409
institution
Provider Profile Details
NPI Number
1487651956
Provider Name
Tri-state Gastroenterology Associates, Psc
Credential
Provider Entity Type
Organization
Address
425 Centre View Blvd, Crestview Hills, KY, 41017-3409
Phone Number
859-341-3575
Fax Number
859-341-5702
Provider Enumeration Date
06/30/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200354210A 05 IN
000000003071 01 ANTHEM
490002071 01 MEDICARE RAILROAD
7100169710 05 KY
institution
Provider Business Practice Location Address Details
Address
425 Centre View Blvd
City
State
Zip
41017-3409
Phone Number
859-341-3575
Fax Number
859-341-5702
person
Provider Business Mailing Address Details
Address
425 Centre View Blvd
City
State
Zip
41017-3409
Phone Number
859-341-3575
Fax Number
859-341-5702
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
300096 (Kentucky)
Definition
Definition to come...
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