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Organization

TRI-STATE MEDICAL SPECIALISTS LLC

Active
Parent organization
TRI-STATE MEDICAL SPECIALISTS LLC
Other names
Tristate Pain Institute
Organization subpart
Yes

Provider details

NPI number
Legal business name
TRI-STATE MEDICAL SPECIALISTS LLC
Authorized official
JOANN VENGER (OWNER)
(928) 788-3333
Entity
Organization

Contact information

Practice address
1510 WAGON WHEEL LANE, SUITE 110, FORT MOHAVE, AZ 86426-6698
(928) 788-3333
(928) 788-3555
Mailing address
PO BOX 10966, FORT MOHAVE, AZ 86427-0966
(928) 788-3333
(928) 788-3555

Taxonomy

Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary

Other

Enumeration date
05/31/2011
Last updated
07/19/2022
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