Organization
TRI RIVERS SURGICAL ASSOCIATES, INC.
Active
Organization
TRI RIVERS SURGICAL ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL KELLY AGNEW M.D. (PRESIDENT)
(412) 367-0600
Entity
Organization
Contact information
Practice address
1 NOLTE DR, 1ST FLR CARDIO/PULMONARY SUITE, KITTANNING, PA 16201-7111
(866) 874-7483
(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
207X00000X
Orthopaedic Surgery Physician
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006963180002
—
PA
Enumeration date
05/01/2014
Last updated
05/01/2014
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