Tri-state Ob-gyn Pc

NPI 1063510204 - Obstetrics & Gynecology - 207V00000X

NPI Details
NPI 1063510204
Enumeration Date 09/20/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name THEODORE THEODORE
Position PRESIDENT
Phone (928) 704-2229
Fax (928) 704-2255
Practice Location
3003 HIGHWAY 95
STE 31
BULLHEAD CITY AZ, 86442-7860, US
Phone (928) 704-2229
Fax (928) 704-2255
Business Location
3003 HIGHWAY 95
STE 31
BULLHEAD CITY AZ, 86442-7860, US
Phone (928) 704-2229
Fax (928) 704-2255
Toxanomy
Taxonomy Code 207V00000X
License State
License Number
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According to our database, Tri-state Ob-gyn Pc NPI is 1063510204, taxonomy code is 207V00000X Tri-state Ob-gyn Pc physically located at 3003 Highway 95, Bullhead City AZ, 86442-7860. NPI Number 1033115704 has the healthcare provider type.

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1063510204 NPI number is provided on an as is basis without warranty of any kind. 1063510204 is maintained by the National Plan & Provider Enumeration System. The contents of Tri-state Ob-gyn Pc are for informational purposes only.