| Tri State Gastroenterology, P.c. | |
|
1225 Hancock Rd Suite 205 Bullhead City AZ 86442-5948 | |
| (928) 763-1680 | |
| (928) 763-8511 |
| Full Name | Tri State Gastroenterology, P.c. |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 1225 Hancock Rd, Bullhead City, Arizona |
| Authorized Official Name and Position | Altaf Jan (PRESIDENT) |
| Authorized Official Contact | 9287631680 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tri State Gastroenterology, P.c. Po Box 27340 Phoenix AZ 85061-7340 Ph: (602) 943-9200 | Tri State Gastroenterology, P.c. 1225 Hancock Rd Suite 205 Bullhead City AZ 86442-5948 Ph: (928) 763-1680 |
| NPI Number | 1922071687 |
|---|---|
| Provider Enumeration Date | 02/10/2006 |
| Last Update Date | 12/06/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922071687 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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