Organization
TRI-STATE MEDICAL SPECIALISTS LLC
Active
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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