Organization
TRI-STATE OB-GYN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THEODORE LONDON MD (PRESIDENT)
(928) 704-2229
Entity
Organization
Contact information
Practice address
3003 HIGHWAY 95, STE 31, BULLHEAD CITY, AZ 86442-7860
(928) 704-2229
(928) 704-2255
Mailing address
3003 HIGHWAY 95, STE 31, BULLHEAD CITY, AZ 86442-7860
(928) 704-2229
(928) 704-2255
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
09/20/2006
Last updated
08/22/2020
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