| NPI | 1750382677 |
|---|---|
| Former Legal Business Name | COLORECTAL SURGICAL ASSOCIATES, INC PSC |
| Entity Type | Organization |
| Authorized Contact | JOHN M FOX Physician 859-278-6031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2022-07-21 |