Organization
TRISTATE ORTHOPAEDIC TREATMENT CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLYDE E HENDERSON (PRESIDENT)
(513) 791-6611
Entity
Organization
Contact information
Practice address
256 STATE ROAD 129 S, BATESVILLE, IN 47006-9236
(812) 934-6428
(812) 934-6122
Mailing address
10547 MONTGOMERY RD, SUITE 400, MONTGOMERY, OH 45242-4418
(513) 791-6611
(513) 791-6788
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
12/27/2013
Last updated
02/20/2014
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