Organization
TRI-STATE SPECIALISTS, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEE MICHAEL HILKA (CHIEF EXECUTIVE OFFICER)
(712) 226-7146
Entity
Organization
Contact information
Practice address
2730 PIERCE ST STE 300, SIOUX CITY, IA 51104-3765
(712) 224-8677
(712) 277-1662
Mailing address
2730 PIERCE ST, SIOUX CITY, IA 51104-3796
(712) 224-8677
(712) 277-1662
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A143916
IA
Other
Enumeration date
07/18/2016
Last updated
10/12/2018
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