Tri-State Pediatric Associates LLC
NPI #1750596656 in Evansville, Indiana
Provider Information
- NPI Number
- 1750596656
- Entity Type
- Organization
- Organization Name
- Tri-State Pediatric Associates LLC
- Primary Specialty
- Pediatrics
- Enumeration Date
- May 14, 2007
- Last Updated
- Jun 23, 2008
Practice Location
- Address
- 3900 WASHINGTON AVE STE 100
- City
- Evansville
- State
- Indiana
- ZIP Code
- 47714-0550
- Phone
- (812) 485-7784
Authorized Official
- Name
- DR. BRUCE P WILLIAMS, M.D.
- Title
- CEO
- Phone
- (812) 485-6695
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
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