Tri-State Gastroenterology Associates, Psc
NPI #1306843842 in Crestview Hills, Kentucky
Provider Information
- NPI Number
- 1306843842
- Entity Type
- Organization
- Organization Name
- Tri-State Gastroenterology Associates, Psc
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Jun 30, 2005
- Last Updated
- Oct 7, 2014
Practice Location
- Address
- 425 CENTRE VIEW BLVD
- City
- Crestview Hills
- State
- Kentucky
- ZIP Code
- 41017-3409
- Phone
- (859) 341-3575
Authorized Official
- Name
- DR. DANIEL G FAGEL, M.D.
- Title
- PRESIDENT
- Phone
- (859) 341-3575
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Gastroenterology — Gastroenterology |
| Internal Medicine |
| Physician Assistant |
| Clinic/Center |
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