Organization
COLORECTAL SURGICAL & GASTROENTEROLOGY ASSOCIATES PSC
Active
Other names
Colorectal Surgical Associates, Inc PSC
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN M FOX M.D. (PHYSICIAN)
(859) 278-6031
Entity
Organization
Contact information
Practice address
2620 WILHITE DRIVE, LEXINGTON, KY 40503-3385
(859) 278-6031
(859) 277-7015
Mailing address
2620 WILHITE DRIVE, LEXINGTON, KY 40503-3385
(859) 278-6031
(859) 277-7015
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05914096
—
KY
Enumeration date
08/02/2005
Last updated
07/21/2022
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