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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
127 ONEIDA VALLEY RD, SUITE 302, 3RD FLOOR, BUTLER, PA 16001-2239
(186) 687-4748
(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
04/04/2011
Last updated
11/19/2011
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