# TRISTATE SURGICAL ASSOCIATES PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467497933
- **Authorized official:** DR. JIM D. BATES D.O. (PHYSICIAN)
- **Authorized official phone:** (928) 704-7166

## Contact information

- **Practice address:** 2744 SILVERCREEK RD, BULLHEAD CITY, AZ 86442-7913
- **Practice address phone:** (928) 704-7166
- **Practice address fax:** (928) 704-7144
- **Mailing address:** 2744 SILVER CREEK RD, BULLHEAD CITY, AZ 86442-7913
- **Mailing address phone:** (928) 704-7166
- **Mailing address fax:** (928) 704-7144

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | NULL | Yes |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/18/2006
- **Last updated:** 01/29/2008