# COLORECTAL SURGICAL & GASTROENTEROLOGY ASSOCIATES PSC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Colorectal Surgical Associates, Inc PSC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750382677
- **Authorized official:** JOHN M FOX M.D. (PHYSICIAN)
- **Authorized official phone:** (859) 278-6031

## Contact information

- **Practice address:** 2620 WILHITE DRIVE, LEXINGTON, KY 40503-3385
- **Practice address phone:** (859) 278-6031
- **Practice address fax:** (859) 277-7015
- **Mailing address:** 2620 WILHITE DRIVE, LEXINGTON, KY 40503-3385
- **Mailing address phone:** (859) 278-6031
- **Mailing address fax:** (859) 277-7015

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208C00000X | Colon & Rectal Surgery Physician | — | KY | Yes |

## Other

- **Enumeration date:** 08/02/2005
- **Last updated:** 07/21/2022