Organization
TRI-STATE COLORECTAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEANE L SMITH II (PARTNER)
(812) 301-8110
Entity
Organization
Contact information
Practice address
950 S KENMORE DR STE B, EVANSVILLE, IN 47714-7513
(812) 301-8110
(812) 401-4001
Mailing address
950 S KENMORE DR STE B, EVANSVILLE, IN 47714-7513
(812) 301-8110
(812) 401-4001
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
—
—
Other
Enumeration date
08/15/2017
Last updated
07/25/2022
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