Organization
TRI RIVERS SURGICAL ASSOCIATES, INC.
Active
Organization
TRI RIVERS SURGICAL ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. D. KELLY AGNEW M.D. (PRESIDENT)
(412) 367-0600
Entity
Organization
Contact information
Practice address
6998 CRIDER RD, SUITE 110, MARS, PA 16046-2306
(724) 779-7000
(412) 367-7079
Mailing address
9104 BABCOCK BLVD, SUITE 2120, PITTSBURGH, PA 15237-5818
(412) 367-0600
(412) 367-7079
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
363AS0400X
Surgical Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
12/29/2006
Last updated
11/03/2010
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