Organization
TRI-STATE DIGESTIVE DISEASE ASSOC PSC.
Active
Organization
TRI-STATE DIGESTIVE DISEASE ASSOC PSC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL DON CANTY M.D. (PRESIDENT)
(606) 324-3188
Entity
Organization
Contact information
Practice address
617 23RD ST, SUIYE 11, ASHLAND, KY 41101-2845
(606) 324-3188
(606) 329-2237
Mailing address
617 23RD ST, SUITE 11, ASHLAND, KY 41101-2880
(606) 324-3188
(606) 329-2237
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0126072
—
OH
05
—
65920845
—
KY
Enumeration date
11/28/2006
Last updated
01/11/2012
Update your record
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