Tri State Advanced Surgery Center, Llc.

NPI 1225398480 - Clinic/Center - 261QA1903X

NPI Details
NPI 1225398480
Enumeration Date 05/22/2012
Last Updated 08/07/2013
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name ROBERT JEFFREY ROBERT
Position MEDICAL DIRECTOR
Phone (870) 559-2006
Fax (870) 559-2413
Practice Location
2596 INTERSTATE 55
MARION AR, 72364-2327, US
Phone (870) 559-2006
Fax (870) 559-2413
Business Location
2596 INTERSTATE 55
MARION AR, 72364-2327, US
Phone (870) 559-2006
Fax (870) 559-2413
Toxanomy
Taxonomy Code 261QA1903X
License State
License Number
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According to our database, Tri State Advanced Surgery Center, Llc. NPI is 1225398480, taxonomy code is 261QA1903X Tri State Advanced Surgery Center, Llc. physically located at 2596 Interstate 55, Marion AR, 72364-2327. NPI Number 1033115704 has the healthcare provider type.

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1225398480 NPI number is provided on an as is basis without warranty of any kind. 1225398480 is maintained by the National Plan & Provider Enumeration System. The contents of Tri State Advanced Surgery Center, Llc. are for informational purposes only.