Tri-State Neurosurgical PC
Specialist in Newburgh, IN. Organization (NPI-2).
NPI number1629831714
StatusActive
Last updated in NPPESJan 28, 2025
Details
- NPI
- 1629831714
- Entity type
- Organization (NPI-2)
- Legal business name
- Tri-State Neurosurgical PC
- Organization subpart
- No
- Enumeration date
- Feb 1, 2024
- Certification date
- Jan 28, 2025
- Last updated
- Jan 28, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | – | Yes |
| 363A00000X | Physician Assistant | – | – | |
| 363AS0400X | Physician Assistant, Surgical | – | – |
Practice location
4133 Gateway Blvd Ste 170Newburgh, IN 47630-8950
Phone 812-758-4199
Mailing address
Po Box 1642Evansville, IN 47706-0043
Phone 812-758-4199
Other practice locations
2780 Frederica St
Owensboro, KY 42301-5442
Owensboro, KY 42301-5442
Phone 270-344-5201
Authorized official
David Eggers
Owner
8127584199
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