| NPI | 1487651956 |
|---|---|
| Doing Business As | TRI-STATE DIGESTIVE DISORDER CENTER |
| Entity Type | Organization |
| Authorized Contact | DANIEL G FAGEL President 859-341-3575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: KY 300096) |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2015-01-13 |