Organization
TRI RIVERS SURGICAL ASSOCIATES, INC
Active
Organization
TRI RIVERS SURGICAL ASSOCIATES, INC
Active
Other names
Tri Rivers Physical Medicine & Rehabilitation
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
9104 BABCOCK BLVD, STE 2120, PITTSBURGH, PA 15237-5818
(412) 367-0600
(412) 367-7079
Mailing address
9104 BABCOCK BLVD, STE 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
—
PA
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
PA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
PA
363AS0400X
Surgical Physician Assistant
—
PA
363L00000X
Nurse Practitioner
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006963180002
—
PA
05
—
0006963180003
—
PA
Enumeration date
05/23/2005
Last updated
11/03/2010
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