Organization · Type 2 NPI
Tri-State Neurosurgical PC
Specialist · Newburgh, IN
NPI number
1629831714
Active
Practice location
4133 Gateway Blvd Ste 170
Newburgh, IN 47630-8950
Mailing address
PO Box 1642
Evansville, IN 47706-0043
Other practice locations
- 2780 Frederica St, Owensboro, KY 42301-5442 · (270) 344-5201
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | None listed |
| Physician Assistant | 363A00000X | None listed |
| Surgical Physician Assistant | 363AS0400X | None listed |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2 other providers at this address
About NPI 1629831714
Tri-State Neurosurgical PC's National Provider Identifier is 1629831714, issued on Feb 1, 2024. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Newburgh, IN. The record was last updated on Jan 28, 2025.