Organization
TRI-STATE ORTHOPEDIC INSTITUTE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BLAKE A STAMPER D.O. (PRESIDENT)
(928) 758-1175
Entity
Organization
Contact information
Practice address
2000 HIGHWAY 95, SUITE 200, BULLHEAD CITY, AZ 86442-6050
(928) 758-1175
(928) 758-5191
Mailing address
PO BOX 27340, PHOENIX, AZ 85061-7340
(602) 943-9200
(602) 216-3000
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
385270
—
AZ
Enumeration date
02/20/2006
Last updated
09/03/2008
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