# TRI-STATE SPECIALISTS, LLP

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

## Provider details

- **NPI number:** 1902134406
- **Authorized official:** DUANE K NELSON M.D. (PRESIDENT)
- **Authorized official phone:** (712) 224-8677

## Contact information

- **Practice address:** 2730 PIERCE ST STE 300, SIOUX CITY, IA 51104-3765
- **Practice address phone:** (712) 224-8677
- **Practice address fax:** (712) 277-1662
- **Mailing address:** 2730 PIERCE ST STE 300, SIOUX CITY, IA 51104-3765
- **Mailing address phone:** (712) 224-8677
- **Mailing address fax:** (712) 277-1662

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 207XS0106X | Orthopaedic Hand Surgery Physician | — | NULL | — |
| 207XS0106X | Orthopaedic Hand Surgery Physician | — | — | — |
| 207XS0117X | Orthopaedic Surgery of the Spine Physician | — | NULL | — |
| 207XS0117X | Orthopaedic Surgery of the Spine Physician | — | — | — |
| 207XX0005X | Sports Medicine (Orthopaedic Surgery) Physician | — | NULL | — |
| 207XX0005X | Sports Medicine (Orthopaedic Surgery) Physician | — | — | — |
| 208200000X | Plastic Surgery Physician | — | NULL | — |
| 208200000X | Plastic Surgery Physician | — | — | — |
| 2084N0400X | Neurology Physician | — | NULL | — |
| 2084N0400X | Neurology Physician | — | — | — |
| 363AS0400X | Surgical Physician Assistant | — | NULL | — |
| 363AS0400X | Surgical Physician Assistant | — | — | — |

## Other

- **Enumeration date:** 11/23/2009
- **Last updated:** 10/09/2018