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Tri-State Colorectal Group, LLC

Colon & Rectal Surgery in Evansville, IN. Organization (NPI-2).

NPI number1083130751
StatusActive
Last updated in NPPESJul 25, 2022

Details

NPI
1083130751
Entity type
Organization (NPI-2)
Legal business name
Tri-State Colorectal Group, LLC
Organization subpart
No
Enumeration date
Aug 15, 2017
Certification date
Jul 25, 2022
Last updated
Jul 25, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208C00000X Colon & Rectal Surgery––Yes

Practice location

950 S Kenmore Dr Ste B
Evansville, IN 47714-7513

Phone 812-301-8110 · Fax 812-401-4001

Mailing address

950 S Kenmore Dr Ste B
Evansville, IN 47714-7513

Phone 812-301-8110 · Fax 812-401-4001

Authorized official

Deane L Smith
Partner
8123018110

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