Organization
TOPS II, LLC
Active
Parent organization
TRI-STATE ORTHOPAEDIC PHYSICIANS, PLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRI-STATE ORTHOPAEDIC PHYSICIANS, PLC
Authorized official
KATHY ELLERBROEK (BILLING MANAGER)
(712) 224-8678
Entity
Organization
Contact information
Practice address
2800 PIERCE ST, SUITE 101, SIOUX CITY, IA 51104-3755
(712) 224-8678
(712) 277-1662
Mailing address
2800 PIERCE ST, SUITE 101, SIOUX CITY, IA 51104-3755
(712) 224-8678
(712) 277-1662
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
350225
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285809095
—
IA
01
—
DN3643
MEDICARE RR
IA
Enumeration date
04/23/2008
Last updated
07/30/2009
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