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
100 INNOVATION DRIVE, SUITE 104D, SLIPPERY ROCK, PA 16057
(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
207QS0010X
Sports Medicine (Family Medicine) Physician
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
Other
Enumeration date
03/24/2011
Last updated
03/24/2011
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