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
101 ALWINE ROAD, SUITE 208, SAXONBURG, PA 16056
(866) 874-7483
(412) 367-7079
Mailing address
9104 BABCOCK BLVD., SUITE 2120, PITTSBURGH, PA 15237
(412) 367-0600
(412) 367-7079
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
—
—
207RR0500X
Rheumatology Physician
—
—
207RS0010X
Sports Medicine (Internal Medicine) Physician
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
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
10/05/2012
Last updated
10/05/2012
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