Organization
TRI-STATE PULMONARY MEDICINE, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK STURM M.D. (PRESIDENT)
(724) 728-5995
Entity
Organization
Contact information
Practice address
1201 3RD ST, BEAVER, PA 15009-2530
(724) 728-5995
(724) 728-5518
Mailing address
1201 3RD ST, BEAVER, PA 15009-2530
(724) 728-5995
(724) 728-5518
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016272710009
—
PA
01
—
CD2544
RR MEDICARE
—
Enumeration date
12/28/2006
Last updated
01/28/2008
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