NPI 1306843842

Tri-State Gastroenterology Associates, Psc

Organisation Clinic/Center Crestview Hills, KY

Practice location

Address: 425 Centre View Blvd, Crestview Hills, KY 41017-3409
Phone: (859) 341-3575
Fax: (859) 341-5701

Authorised official

Name: Daniel G Fagel
Title: President
Phone: (859) 341-3575

Registered specialties (4)

Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261Q00000X

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Internal Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207R00000X

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Gastroenterology Physician

Allopathic & Osteopathic Physicians Taxonomy 207RG0100X

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

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Registry record

NPI: 1306843842
Entity type: Organization
NPI issued: 30 Jun 2005
Record last updated: 7 Oct 2014

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.