Tri-State Podiatric Medical Services Psc

NPI #1750407474 in Henderson, Kentucky

Provider Information

NPI Number: 1750407474
Entity Type: Organization
Organization Name: Tri-State Podiatric Medical Services Psc
Primary Specialty: Podiatrist
Enumeration Date: Mar 22, 2007
Last Updated: Oct 25, 2016

Practice Location

Address: 411 LETCHER ST
City: Henderson
State: Kentucky
ZIP Code: 42420-4245
Phone: (270) 830-6522

Authorized Official

Name: EDWARD G ANDERSON, D.P.M.
Title: PODIATRIST OWNER
Phone: (270) 830-5522

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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