| NPI | 1326224353 |
|---|---|
| Doing Business As | TRI-STATE PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | TROY CONNETT Director Of Finance 606-833-3700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2008-01-22 |
| Last Update Date | 2019-05-20 |